Provider Demographics
NPI:1104954627
Name:REICH, BETH M (MA LMHC)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:M
Last Name:REICH
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:620 NE 9TH AVE
Mailing Address - Street 2:#7
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4694
Mailing Address - Country:US
Mailing Address - Phone:954-768-0434
Mailing Address - Fax:954-768-0285
Practice Address - Street 1:108 SE 8TH AVE
Practice Address - Street 2:#203
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2023
Practice Address - Country:US
Practice Address - Phone:954-768-0434
Practice Address - Fax:954-768-0285
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6609101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health