MR. DAN W REAGAN LPC NPI 1023146487

Counselor (Professional) in Edinburg, TX

About DAN REAGAN

Dan Reagan is a provider in Edinburg, TX. The NPI number assigned to this provider is 1023146487. The practitioner's primary taxonomy code is Counselor (101YP2500X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1023146487

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. DAN W REAGAN LPC
Provider Location Address1301 S 16TH AVE EDINBURG, TX 78539 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1301 S 16TH AVE EDINBURG, TX 78539 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. DAN W REAGAN LPC
1301 S 16TH AVE
EDINBURG, TX
ZIP 78539
Phone: (956) 318-0809
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Mailing Address

MR. DAN W REAGAN LPC
1301 S 16TH AVE
EDINBURG, TX
ZIP 78539
Phone: (956) 318-0809

Primary Taxonomy

Taxonomy Code101YP2500X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional
License No.14446
License StateTX

Map Location


MR. DAN W REAGAN LPC address is 1301 S 16TH AVE EDINBURG, TX 78539
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