Provider Demographics
NPI:1053363572
Name:REINACH, JAMES MILLER (LMHC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MILLER
Last Name:REINACH
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 W DE LEON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2708
Mailing Address - Country:US
Mailing Address - Phone:813-629-6890
Mailing Address - Fax:813-651-9778
Practice Address - Street 1:806 W DE LEON ST STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2708
Practice Address - Country:US
Practice Address - Phone:813-629-6890
Practice Address - Fax:813-629-6890
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5364101YM0800X
FLMH-5364101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health