Reynolds, Donna

Reynolds, Donna is an sole proprietor health care provider with primary practice located at 323 Marion Pike Ste 3 , Coal Grove OH 45638-2958. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Reynolds, Donna can be contacted via phone (740) 464-6640.

Contact Information

Primary practice address
323 Marion Pike Ste 3 Coal Grove OH 45638-2958
Phone: (740) 464-6640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCII.161484 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.163495 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 161766 Ohio

Profile Details

NPI number 1144733940
LBN Legal business name Reynolds, Donna
Credentials LICDC 161766
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2017
Last updated Nov 19th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144733940 NPPES
Ohio MEDICAID 0259184

Popular Providers