IndividualActive
Reginald Louis
NPI 1740658624 · Professional Counselor · Rex, GA
Provider details
- NPI number
- 1740658624
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- APC009649 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3434 Poplar Ridge Dr
Rex, GA 30273-2462
Phone: (904) 860-8628
Approximate (ZIP-level) locationGet directions
Mailing address
3434 Poplar Ridge Dr
Rex, GA 30273-2462
Registry dates
- Enumerated
- 2015-09-09
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.