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General NPI Number Information
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NPI Number | 1821559170
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Entity Type | Organization
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Legal Business Name | REFLECTIONS BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 03/28/2019
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Provider Practice Location Address
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Address Line | 554 N MAIN ST
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-3206
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Country | US
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Telephone | 804-519-4448
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Fax |
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Provider Business Mailing Address
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Address Line | 3704 MUIRFIELD GREEN DR
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-4524
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Country | US
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Telephone | 804-519-4448
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHERODNICKER BROWN
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Credential | MA, MBA
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Telephone | 804-519-4448
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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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