Provider Demographics
NPI:1972302248
Name:REED, KAMAU TERIQ
Entity type:Individual
Prefix:
First Name:KAMAU
Middle Name:TERIQ
Last Name:REED
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 1:978 E 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-2125
Mailing Address - Country:US
Mailing Address - Phone:614-772-6544
Mailing Address - Fax:
Practice Address - Street 1:978 E 22ND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2125
Practice Address - Country:US
Practice Address - Phone:614-772-6544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health