MEDICARE: REFLECTIONS BEHAVIORAL HEALTH SERVICES

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174168546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFLECTIONS BEHAVIORAL HEALTH SERVICES

Provider Business Mailing Address
First Line	:	2400 N TENAYA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0420
Country	:	US
Telephone Number	:	702-690-8378
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 N TENAYA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0420
Country	:	US
Telephone Number	:	702-690-8378
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TONY WALKER
Credential	:
Telephone Number	:	702-690-8378

Provider Enumeration Date	:	11/08/2019
Last Update Date	:	11/08/2019

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