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NPI Code Detail

MEDICARE: REFLECTIVE PATH LLC

MEDICARE: REFLECTIVE PATH 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
1101YP2500XProfessional Counselor
2104100000XSocial Worker
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1457234759
Entity Type Code : Organization
Provider Name (Legal Business Name) : REFLECTIVE PATH LLC
Provider Business Mailing Address
First Line : 4635 DANSON WAY
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3553
Country : US
Telephone Number : 954-247-1355
Fax Number :
Provider Business Practice Location Address
First Line : 4635 DANSON WAY
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3553
Country : US
Telephone Number : 954-247-1355
Fax Number :
Authorized Official
Title or Position : AUTHORIZED MEMBER
Name : SHELLY-ANN FRANCIS
Credential :
Telephone Number : 954-247-1355
Provider Enumeration Date : 07/26/2025
Last Update Date : 07/26/2025

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Directions to “REFLECTIVE PATH LLC ” Practice Location

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