MEDICARE: REFLECTIONS THERAPEUTIC SERVICES PLLC.

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

General Provider Information

NPI Number	:	1174340285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFLECTIONS THERAPEUTIC SERVICES PLLC.

Provider Business Mailing Address
First Line	:	25 COUNTRY CLUB RD UNIT 504
Second Line	:
City	:	GILFORD
State	:	NH
Zip	:	03249-6977
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 COUNTRY CLUB RD UNIT 504
Second Line	:
City	:	GILFORD
State	:	NH
Zip	:	03249-6977
Country	:	US
Telephone Number	:	603-717-1213
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICIAN
Name	:	ALEXANDRA SMITH
Credential	:	LCMHC
Telephone Number	:	603-717-1213

Provider Enumeration Date	:	09/21/2024
Last Update Date	:	09/21/2024

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