MEDICARE: NEW REFLECTIONS COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194375741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW REFLECTIONS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 74711
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-0012
Country	:	US
Telephone Number	:	804-514-3346
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 N PARHAM RD STE 200-54
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23294-4410
Country	:	US
Telephone Number	:	804-489-1375
Fax Number	:	804-799-1775

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTY DAMRATH
Credential	:	LCSW
Telephone Number	:	804-514-3346

Provider Enumeration Date	:	09/16/2019
Last Update Date	:	04/24/2024

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