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General NPI Number Information
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NPI Number | 1124140868
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Entity Type | Organization
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Legal Business Name | REFLECTIONS CLINICAL AND CONSULTATION SERVICES, LLC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3280 DOWNING ST SUITE A
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City | DENVER
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State | CO
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Zip | 80205-3994
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Country | US
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Telephone | 303-225-2705
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Fax | 303-225-2705
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Provider Business Mailing Address
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Address Line | 3280 DOWNING ST SUITE A
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City | DENVER
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State | CO
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Zip | 80205-3994
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Country | US
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Telephone | 303-225-2705
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Fax | 303-225-2705
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Authorized Official
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Title or Position | PARTNER
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Name | MS. MICHELLE RENEE SIMMONS
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Credential | LPC
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Telephone | 303-225-2705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2992
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License Number State | CO
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