Provider Demographics
NPI:1942918339
Name:REFLECTION HEALTH GROUP INC
Entity Type:Organization
Organization Name:REFLECTION HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YENNIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:BASTER LAHERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-557-5263
Mailing Address - Street 1:4160 W 16TH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5853
Mailing Address - Country:US
Mailing Address - Phone:786-567-3002
Mailing Address - Fax:
Practice Address - Street 1:4160 W 16TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5853
Practice Address - Country:US
Practice Address - Phone:786-567-3002
Practice Address - Fax:305-847-2797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty