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General NPI Number Information
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NPI Number | 1013442995
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Entity Type | Organization
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Legal Business Name | REFLECTIONS BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 2860 SADDLE BRONC CIR
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-8957
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Country | US
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Telephone | 877-221-6843
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Fax |
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Provider Business Mailing Address
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Address Line | 2860 SADDLE BRONC CIR
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-8957
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Country | US
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Telephone | 877-221-6843
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | ANDRIONNA WILLIAMS
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Credential |
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Telephone | 877-221-6843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 102461
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License Number State | GA
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