| Reflection Counseling Services, Llc | |
|
550 S Wadsworth Blvd Suite 402 Lakewood CO 80226-3111 | |
| (720) 270-2074 | |
| Not Available |
| Full Name | Reflection Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 550 S Wadsworth Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Diane L Eberle (SOLE MBR) |
| Authorized Official Contact | 7202702074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflection Counseling Services, Llc 85 S Cody Ct Lakewood CO 80226-1276 Ph: (720) 270-2074 | Reflection Counseling Services, Llc 550 S Wadsworth Blvd Suite 402 Lakewood CO 80226-3111 Ph: (720) 270-2074 |
| NPI Number | 1598154908 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 01/22/2015 |
| Medicare PECOS PAC ID | 7113272980 |
|---|---|
| Medicare Enrollment ID | O20180619002105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598154908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW09923176 (Colorado) | Primary |
| Provider Name | Diane Eberle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932441045 PECOS PAC ID: 1658594312 Enrollment ID: I20140527001063 |
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