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REGINALD LOGAN LMHC
NPI 1245587583
Counselor - Mental Health in Viera, FL

Active since August 06, 2012
3311 GATLIN DR, SUITE 102, VIERA, FL 32955(321) 243-5938(321) 610-7947 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reginald Logan Lmhc NPPES

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

REGINALD LOGAN LMHC (NPI 1245587583) is an individual mental health provider in Viera, Florida, licensed in Florida (MH14191) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1245587583
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameREGINALD LOGANCredential: LMHC
Location Address3311 GATLIN DR, SUITE 102Viera, FL 32955-7022
Mailing Address3311 Gatlin DrViera, FL 32955-7022 · (321) 243-5938
Phone(321) 243-5938
Fax(321) 610-7947
Sole ProprietorYes
Enumeration DateAugust 6, 2012
Last NPPES UpdateOctober 25, 2016
✔ NPI 1245587583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH14191
3311 GATLIN DR, Viera, FL 32955
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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 Reginald Logan's NPI number?

The NPI number for Reginald Logan is 1245587583. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Where is Reginald Logan located?

Reginald Logan practices at 3311 Gatlin Dr Suite 102, Viera, FL 32955. The listed phone number is (321) 243-5938.

What is Reginald Logan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Reginald Logan was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.