| Reflections Mental Health Service, Pllc | |
|
3210 S Bryant St Ste B Little Rock AR 72204-5924 | |
| (501) 486-6392 | |
| Not Available |
| Full Name | Reflections Mental Health Service, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3210 S Bryant St Ste B, Little Rock, Arkansas |
| Authorized Official Name and Position | Al Berry (MANAGER) |
| Authorized Official Contact | 4699154211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflections Mental Health Service, Pllc 10128 Mill Grinder Ln Mabelvale AR 72103-4034 Ph: (501) 486-6392 | Reflections Mental Health Service, Pllc 3210 S Bryant St Ste B Little Rock AR 72204-5924 Ph: (501) 486-6392 |
| NPI Number | 1699540534 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 01/13/2024 |
| Certification Date | 01/13/2024 |
| Medicare PECOS PAC ID | 3971948084 |
|---|---|
| Medicare Enrollment ID | O20240228003881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699540534 | NPI | - | NPPES |
| 292775758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tekima R Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659623775 PECOS PAC ID: 2163890443 Enrollment ID: I20230606001110 |
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