Provider Demographics
NPI:1689471021
Name:REED, ROBERT NOLAN (LMHC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:NOLAN
Last Name:REED
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 NOTTINGHILL ST
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-0693
Mailing Address - Country:US
Mailing Address - Phone:407-590-4556
Mailing Address - Fax:
Practice Address - Street 1:215 S PALMETTO AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-4308
Practice Address - Country:US
Practice Address - Phone:407-590-4556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH23387101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health