Provider Demographics
NPI:1821622697
Name:REFLECTIONS COUNSELING SERVICES
Entity Type:Organization
Organization Name:REFLECTIONS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:MB
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:315-245-0345
Mailing Address - Street 1:28 CHURCH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13316-1428
Mailing Address - Country:US
Mailing Address - Phone:315-245-0345
Mailing Address - Fax:315-245-0346
Practice Address - Street 1:28 CHURCH ST STE 5
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NY
Practice Address - Zip Code:13316-1428
Practice Address - Country:US
Practice Address - Phone:315-245-0345
Practice Address - Fax:315-245-0346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty