MR. MICHELLE RENEE REYNOLDS
NPI 1073123113
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since August 04, 2020
360 S WESTLAKE AVE, LOS ANGELES, CA 90057(213) 483-9201(213) 382-0136 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Michelle Renee Reynolds NPPES

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

MR. MICHELLE RENEE REYNOLDS (NPI 1073123113) is an individual addiction (substance use disorder) provider in Los Angeles, California, licensed in California (R1367151019) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1073123113
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHELLE RENEE REYNOLDS
Location Address360 S WESTLAKE AVELos Angeles, CA 90057-2906
Mailing Address360 S Westlake AveLos Angeles, CA 90057-2906 · (213) 483-9201 · Fax (213) 382-0136
Fax(213) 382-0136
Sole ProprietorYes
Enumeration DateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
NPI 1073123113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R1367151019
360 S WESTLAKE AVE, Los Angeles, CA 90057

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.

Substance Abuse Rehabilitation Facility
360 S WESTLAKE AVE
LOS ANGELES, CA 90057
Counselor
360 S WESTLAKE AVE
LOS ANGELES, CA 90057
Counselor
360 S WESTLAKE AVE
LOS ANGELES, CA 90057
Counselor (Addiction (Substance Use Disorder))
360 S WESTLAKE AVE
LOS ANGELES, CA 90057
Counselor (Addiction (Substance Use Disorder))
360 S WESTLAKE AVE
LOS ANGELES, CA 90057
Counselor (Addiction (Substance Use Disorder))
360 S WESTLAKE AVE
LOS ANGELES, CA 90057
Counselor (Addiction (Substance Use Disorder))
360 S WESTLAKE AVE
LOS ANGELES, CA 90057
Counselor (Addiction (Substance Use Disorder))
360 S WESTLAKE AVE
LOS ANGELES, CA 90057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073123113, enumerated as an "individual" on August 04, 2020.

The provider is located at 360 S WESTLAKE AVE LOS ANGELES, CA 90057 and the phone number is (213) 483-9201.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).