Healthcare Provider Details

I. General information

NPI: 1770651242
Provider Name (Legal Business Name): REFLECTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

497 BELLEVILLE AVE
NEW BEDFORD MA
02746-2420
US

IV. Provider business mailing address

497 BELLEVILLE AVE
NEW BEDFORD MA
02746-2420
US

V. Phone/Fax

Practice location:
  • Phone: 508-991-7487
  • Fax:
Mailing address:
  • Phone: 508-991-7487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0826
License Number StateMA

VIII. Authorized Official

Name: MISS KELLY ANN SOUZA-SIMAS
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA, LADCI
Phone: 508-991-7487