Provider Demographics
NPI:1013442995
Name:REFLECTIONS BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:REFLECTIONS BEHAVIORAL HEALTH SERVICES
Other - Org Name:REFLECTIONS BEHAVIORAL HEALTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRIONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-221-6843
Mailing Address - Street 1:2860 SADDLE BRONC CIR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-8957
Mailing Address - Country:US
Mailing Address - Phone:877-221-6843
Mailing Address - Fax:
Practice Address - Street 1:2860 SADDLE BRONC CIR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-8957
Practice Address - Country:US
Practice Address - Phone:877-221-6843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA102461251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1811262488Medicaid