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BRENDA NAHIELY REZA
NPI 1073022802
Student in an Organized Health Care Education/Training Program in Southfield, MI

Active since September 25, 2017
17320 W 12 MILE RD, SOUTHFIELD, MI 48076(248) 727-3456(242) 557-4697 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brenda Nahiely Reza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA NAHIELY REZA (NPI 1073022802) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since September 2017. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1073022802
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRENDA NAHIELY REZA
Location Address17320 W 12 MILE RDSouthfield, MI 48076-2100
Mailing Address17320 W 12 Mile RdSouthfield, MI 48076-2100 · (248) 727-3456
Phone(248) 727-3456
Fax(242) 557-4697
Sole ProprietorNo
Enumeration DateSeptember 25, 2017
Last NPPES UpdateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
✔ NPI 1073022802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
17320 W 12 MILE RD, Southfield, MI 48076
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Other Names 1

Former Name (1)Brenda Nahiely Hernandez Jimenez

Secondary Practice Location 1

Location 19445 Farnham St., Suite 100San Diego, CA 92123 · Phone (619) 980-9312

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE ROSE ADAMOWSKI
Social Worker (Clinical)
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 727-3456
SEAN MCGRAW LPC
Counselor (Professional)
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (586) 648-0811
MS. PERSONNA HOVER NA
Student in an Organized Health Care Education/Training Program
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (313) 974-1335
MS. ASHLEY LIAT ATTAR LLMSW
Social Worker
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 727-3456
ELISABETH PIXLEY-FINK LLMSW
Social Worker (Clinical)
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 727-3456
MYRANDA JENNINGS
Counselor
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (586) 806-9726
LAUREL CATHERINE SCHUCKENBROCK
Student in an Organized Health Care Education/Training Program
17320 W 12 MILE RD
SOUTHFIELD, MI 48076
Oakland County (248) 727-3456
DAVID ZAPORSKI MSW
Social Worker (Clinical)
17320 W 12 MILE RD, SUITE 101
SOUTHFIELD, MI 48076
Oakland County (248) 302-0027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Nahiely Reza's NPI number?

The NPI number for Brenda Nahiely Reza is 1073022802. It was assigned to this individual provider in the NPPES registry on September 25, 2017. The provider is also known as Brenda Nahiely Hernandez Jimenez.

Where is Brenda Nahiely Reza located?

Brenda Nahiely Reza practices at 17320 W 12 Mile Rd, Southfield, MI 48076. The listed phone number is (248) 727-3456.

What is Brenda Nahiely Reza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brenda Nahiely Reza was last updated on October 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.