Provider Information for 1942675285
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PORCHA LURELLE REED MS, LPC-S
Sex: Female
NPI: 1942675285
Last Updated: 2025-03-19
Certification Date: 2025-03-19
Certification Date: 2025-03-19
Details
Name | Value | ||||||||||||
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NPI | 1942675285 | ||||||||||||
Enumeration Date | 2015-12-12 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 8300 ESTERS BLVD STE 900 IRVING, TX 75063-2233 United States Phone: 415-424-4266 | Fax: | ||||||||||||
Primary Practice Address | 8300 ESTERS BLVD STE 900 IRVING, TX 75063-2233 United States Phone: 415-424-4266 | Fax:415-520-6633 | ||||||||||||
Secondary Practice Address(es) | 101 N TRYON ST STE 600 | ||||||||||||
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