Robert Reynolds
Counselor, Mental Health in Marietta, GA. Individual provider (NPI-1).
NPI number1548094014
StatusActive
Last updated in NPPESOct 22, 2026
Details
- NPI
- 1548094014
- Entity type
- Individual (NPI-1)
- Name
- Robert Reynolds
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Oct 22, 2026
- Last updated
- Oct 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 101YP2500X | Counselor, Professional | LPC017567 | GA |
Practice location
1640 Powers Ferry Rd Se # Se14-200Marietta, GA 30067-5491
Phone 888-551-5168
Mailing address
3677 School StChamblee, GA 30341-2010
Phone 404-399-0465
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All 295 Mental Health Counselor providers in Marietta · All 9,180 providers in Marietta
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