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General NPI Number Information
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NPI Number | 1356906564
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Entity Type | Organization
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Legal Business Name | REFLECTIONS COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 317 OFFICE SQUARE LN STE 202B
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3663
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Country | US
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Telephone | 757-932-0040
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Fax | 844-932-5446
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Provider Business Mailing Address
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Address Line | 2044 BRECK AVE # 23464
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-1791
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Country | US
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Telephone | 757-932-0040
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Fax | 844-526-9334
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Authorized Official
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Title or Position | OWNER/LPC
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Name | MICHELLE G JUAREZ
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Credential | LPC
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Telephone | 757-932-0040
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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 |
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License Number State |
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