Individual provider · Type 1 NPI
Robert Reynolds
Mental Health Counselor · Marietta, GA
NPI number
1548094014
Active
Practice location
1640 Powers Ferry Rd SE # SE14-200
Marietta, GA 30067-5491
Mailing address
3677 School St
Chamblee, GA 30341-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor | 101YP2500X | LPC017567 (GA) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1548094014
Robert Reynolds's National Provider Identifier is 1548094014, issued on Aug 28, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, GA. The record was last updated on Oct 22, 2026.