| Reflection Mental Health Therapy, Pllc | |
|
11610 Pleasant Ridge Rd Ste 103-124 Little Rock AR 72223-2305 | |
| (501) 941-8976 | |
| Not Available |
| Full Name | Reflection Mental Health Therapy, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 11610 Pleasant Ridge Rd Ste 103-124, Little Rock, Arkansas |
| Authorized Official Name and Position | Amanda Michelle Thompson (SOCIAL WORKER) |
| Authorized Official Contact | 5019418976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflection Mental Health Therapy, Pllc 11610 Pleasant Ridge Rd Ste 103-124 Little Rock AR 72223-2305 Ph: (501) 941-8976 | Reflection Mental Health Therapy, Pllc 11610 Pleasant Ridge Rd Ste 103-124 Little Rock AR 72223-2305 Ph: (501) 941-8976 |
| NPI Number | 1235918707 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Medicare PECOS PAC ID | 6305384652 |
|---|---|
| Medicare Enrollment ID | O20240816003689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235918707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amanda Michelle Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114503554 PECOS PAC ID: 4789092073 Enrollment ID: I20210427000933 |
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