Provider Demographics
NPI:1598410383
Name:REFLECTIONS BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:REFLECTIONS BEHAVIORAL HEALTH LLC
Other - Org Name:REFLECTIONS BEHAVIORAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:N
Authorized Official - Last Name:UDEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-236-8879
Mailing Address - Street 1:104 WOODLAKE DR
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-3167
Mailing Address - Country:US
Mailing Address - Phone:732-236-8879
Mailing Address - Fax:
Practice Address - Street 1:104 WOODLAKE DR
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-3167
Practice Address - Country:US
Practice Address - Phone:732-236-8879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-20
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty