Reynolds, David Michael

Reynolds, David Michael is an individual health care provider with primary practice located at 855 S. German Lane #1 , Conway AR 72034-7203. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Reynolds, David Michael can be contacted via phone (501) 358-6606.

Contact Information

Primary practice address
855 S. German Lane #1 Conway AR 72034-7203
Phone: (501) 358-6606
Fax: (501) 325-5554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P1104025
Behavioral Health & Social Service Providers / Professional 101YP2500X P1710360 Arkansas

Profile Details

NPI number 1356580666
LBN Legal business name Reynolds, David Michael
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2009
Last updated Apr 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356580666 NPPES
Other 5AE49 BCBS

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