MEDICARE: 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1972902674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFLECTIONS COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 244
Second Line	:
City	:	BELL
State	:	FL
Zip	:	32619-0244
Country	:	US
Telephone Number	:	386-717-6134
Fax Number	:	352-658-8020

Provider Business Practice Location Address
First Line	:	4140 NW 27TH LN STE F
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-6600
Country	:	US
Telephone Number	:	386-717-6134
Fax Number	:	352-658-8020

Authorized Official
Title or Position	:	LMHC
Name	:	SUSAN L CREWS
Credential	:	MS
Telephone Number	:	386-717-6134

Provider Enumeration Date	:	08/19/2014
Last Update Date	:	10/28/2024

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