Provider Demographics
NPI:1720881931
Name:OHARE, REAGAN ASHLEY
Entity type:Individual
Prefix:
First Name:REAGAN
Middle Name:ASHLEY
Last Name:OHARE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 RIDGE PL
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-7880
Mailing Address - Country:US
Mailing Address - Phone:713-705-4741
Mailing Address - Fax:
Practice Address - Street 1:108 RIDGE PL
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-7880
Practice Address - Country:US
Practice Address - Phone:713-705-4741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91799101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional