Provider Demographics
NPI:1912148602
Name:REFLECTIONS WELLNESS CENTER OF FLORIDA'S HEARTLAND, INC.
Entity Type:Organization
Organization Name:REFLECTIONS WELLNESS CENTER OF FLORIDA'S HEARTLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:MESA
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD, LMHC
Authorized Official - Phone:863-386-9181
Mailing Address - Street 1:154 S COMMERCE AVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-3601
Mailing Address - Country:US
Mailing Address - Phone:863-386-9181
Mailing Address - Fax:
Practice Address - Street 1:154 S COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3601
Practice Address - Country:US
Practice Address - Phone:863-386-9181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)