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NPI Code Detail

MEDICARE: REFLECTIVE WELLNESS

MEDICARE: REFLECTIVE WELLNESS
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 Counselor5045CO

Other Identifiers

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

General Provider Information

NPI Number : 1477007813
Entity Type Code : Organization
Provider Name (Legal Business Name) : REFLECTIVE WELLNESS
Provider Business Mailing Address
First Line : 13731 E RICE PL STE 200
Second Line :
City : AURORA
State : CO
Zip : 80015-1063
Country : US
Telephone Number : 303-257-3746
Fax Number : 720-639-2317
Provider Business Practice Location Address
First Line : 13731 E RICE PL STE 200
Second Line :
City : AURORA
State : CO
Zip : 80015-1063
Country : US
Telephone Number : 303-257-3746
Fax Number : 720-639-2317
Authorized Official
Title or Position : OWNER
Name : LETITIA JACKSON
Credential : MA LPC
Telephone Number : 303-257-3746
Provider Enumeration Date : 08/14/2016
Last Update Date : 08/14/2016

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Directions to “REFLECTIVE WELLNESS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.