=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740569664
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REFLECTIONS COUNSELING SERVICES GROUP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/09/2011
-----------------------------------------------------
Last Update Date | 09/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3430 E HIGHWAY 101
-----------------------------------------------------
City | PORT ANGELES
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98362-0072
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-452-4062
-----------------------------------------------------
Fax | 360-452-4189
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 478
-----------------------------------------------------
City | PORT ANGELES
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98362-0072
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 360-452-4062
-----------------------------------------------------
Fax | 360-452-4189
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MS. G'NELL ASHLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 360-452-4062
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 603088356
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QR0405X
-----------------------------------------------------
Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------