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General NPI Number Information
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NPI Number | 1699540534
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Entity Type | Organization
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Legal Business Name | REFLECTIONS MENTAL HEALTH SERVICE, PLLC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 01/13/2024
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Provider Practice Location Address
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Address Line | 3210 S BRYANT ST STE B
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City | LITTLE ROCK
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State | AR
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Zip | 72204-5924
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Country | US
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Telephone | 501-486-6392
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Fax |
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Provider Business Mailing Address
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Address Line | 10128 MILL GRINDER LN
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City | MABELVALE
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State | AR
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Zip | 72103-4034
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Country | US
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Telephone | 501-486-6392
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AL BERRY
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Credential |
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Telephone | 469-915-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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