MEDICARE: MERCIFUL REFLECTIONS COUNSELING SERVICES, 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1700733003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCIFUL REFLECTIONS COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	3021 LYDIA LN
Second Line	:
City	:	NORTH PRINCE GEORGE
State	:	VA
Zip	:	23860-8165
Country	:	US
Telephone Number	:	757-928-5875
Fax Number	:

Provider Business Practice Location Address
First Line	:	3021 LYDIA LN
Second Line	:
City	:	NORTH PRINCE GEORGE
State	:	VA
Zip	:	23860-8165
Country	:	US
Telephone Number	:	757-928-5875
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	NAOMIE JOSEPH-NIETO
Credential	:
Telephone Number	:	757-928-5875

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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