National Provider Identifier

Michelle Renee Reynolds

Michelle Renee Reynolds is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Los Angeles, CA and a listed phone number of (213) 483-9201.

NPI 1073123113Los Angeles, CAAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated August 04, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1073123113
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
August 04, 2020
Last Updated
August 04, 2020

Practice Location

  • 360 S Westlake Ave
  • Los Angeles, CA 90057-2906

Phone: (213) 483-9201

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Biography

Michelle Reynolds is a Los Angeles addiction counselor whose public provider record connects her with Social Model Recovery Systems, a California nonprofit offering residential, day-treatment, and outpatient services for substance use and co-occurring mental health needs. Social Model’s Los Angeles programs include Royal Palms, a residential program with LGBTQ+ affirming care, individual and group counseling, HIV education and linkage services, and state licensing/certification.

Full Record
NPI
1073123113
Entity Type
Individual
Last Name
Reynolds
First Name
Michelle
Middle Name
Renee
Name Prefix
Mr.
Mailing Street Address
360 S Westlake Ave
Mailing City
Los Angeles
Mailing State
CA
Mailing ZIP Code
90057-2906
Mailing Country
US
Mailing Phone
(213) 483-9201
Mailing Fax
(213) 382-0136
Practice Street Address
360 S Westlake Ave
Practice City
Los Angeles
Practice State
CA
Practice ZIP Code
90057-2906
Practice Country
US
Practice Phone
(213) 483-9201
Practice Fax
(213) 382-0136
Enumeration Date
August 04, 2020
Last Updated
August 04, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
August 04, 2020
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)