Provider Demographics
NPI:1407257322
Name:REFLECTION WELLNESS CENTER OF BROWARD
Entity Type:Organization
Organization Name:REFLECTION WELLNESS CENTER OF BROWARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PER DIEM THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:305-661-3501
Mailing Address - Street 1:10650 SW 71ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3944
Mailing Address - Country:US
Mailing Address - Phone:305-661-3501
Mailing Address - Fax:
Practice Address - Street 1:10650 SW 71ST AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3944
Practice Address - Country:US
Practice Address - Phone:305-661-3501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty