Provider Demographics
NPI:1306538848
Name:PEREZ, REYNA (LPC)
Entity type:Individual
Prefix:
First Name:REYNA
Middle Name:
Last Name:PEREZ
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 1:575 WHITE POND DR STE A&B
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-1184
Mailing Address - Country:US
Mailing Address - Phone:234-601-0244
Mailing Address - Fax:
Practice Address - Street 1:575 WHITE POND DR STE A&B
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1184
Practice Address - Country:US
Practice Address - Phone:234-601-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2305204-TRNE101YM0800X
171M00000X
OH101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator