MEDICARE: REFLECTING POOLS COUNSELING

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	:	1477361798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFLECTING POOLS COUNSELING

Provider Business Mailing Address
First Line	:	3601 HOBSON RD STE 201
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-4527
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 HOBSON RD STE 201
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-4527
Country	:	US
Telephone Number	:	260-255-5488
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AARON KIMBLE
Credential	:	MSED., LMHC
Telephone Number	:	260-255-5488

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	12/19/2024

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Directions to “REFLECTING POOLS COUNSELING ” Practice Location

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