Provider Demographics
NPI:1336952407
Name:I REYES COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:I REYES COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:321-368-2846
Mailing Address - Street 1:2474 CARDENA AVE
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-3012
Mailing Address - Country:US
Mailing Address - Phone:321-368-2846
Mailing Address - Fax:
Practice Address - Street 1:1991 LONGWOOD LAKE MARY RD
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4620
Practice Address - Country:US
Practice Address - Phone:321-368-2846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty