MEDICARE: REFLECTIONS CLINICAL AND CONSULTATION SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2992	CO

General Provider Information

NPI Number	:	1124140868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFLECTIONS CLINICAL AND CONSULTATION SERVICES, LLC

Provider Business Mailing Address
First Line	:	3280 DOWNING ST
Second Line	:	SUITE A
City	:	DENVER
State	:	CO
Zip	:	80205-3994
Country	:	US
Telephone Number	:	303-225-2705
Fax Number	:	303-225-2705

Provider Business Practice Location Address
First Line	:	3280 DOWNING ST
Second Line	:	SUITE A
City	:	DENVER
State	:	CO
Zip	:	80205-3994
Country	:	US
Telephone Number	:	303-225-2705
Fax Number	:	303-225-2705

Authorized Official
Title or Position	:	PARTNER
Name	:	MS. MICHELLE RENEE SIMMONS
Credential	:	LPC
Telephone Number	:	303-225-2705

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	08/22/2020

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