Provider Demographics
NPI:1093542185
Name:REIMERS, ALICIA NICOLE (LPC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:NICOLE
Last Name:REIMERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 CHAMBERS ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5274
Mailing Address - Country:US
Mailing Address - Phone:940-453-5226
Mailing Address - Fax:
Practice Address - Street 1:616 CHAMBERS ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5274
Practice Address - Country:US
Practice Address - Phone:940-453-5226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-14
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79748101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health