Reflections Psychotherapy Services Llc | |
701 Cottage Grove Rd Suite F 120 Bloomfield CT 06002 | |
(860) 878-9145 | |
(860) 242-7811 |
Full Name | Reflections Psychotherapy Services Llc |
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Speciality | Community/Behavioral Health |
Location | 701 Cottage Grove Rd, Bloomfield, Connecticut |
Authorized Official Name and Position | Lisa M. Johnson-holloway (OWNER) |
Authorized Official Contact | 8608789145 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reflections Psychotherapy Services Llc Po Box 253 Bloomfield CT 06002-0253 Ph: (860) 878-9145 | Reflections Psychotherapy Services Llc 701 Cottage Grove Rd Suite F 120 Bloomfield CT 06002 Ph: (860) 878-9145 |
NPI Number | 1053612150 |
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Provider Enumeration Date | 11/06/2010 |
Last Update Date | 08/02/2018 |
Medicare PECOS PAC ID | 8022299148 |
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Medicare Enrollment ID | O20110223000310 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053612150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Lisa M. Johnson-holloway |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235459959 PECOS PAC ID: 9335056043 Enrollment ID: I20110223000383 |
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