| Reflective Therapy Lcsw Pllc | |
|
3041 Holland Ave Apt 3s Bronx NY 10467-8324 | |
| (212) 731-4685 | |
| Not Available |
| Full Name | Reflective Therapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3041 Holland Ave Apt 3s, Bronx, New York |
| Authorized Official Name and Position | Shane King (CLINICAL THERAPIST) |
| Authorized Official Contact | 2127314685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflective Therapy Lcsw Pllc 3041 Holland Ave Apt 3s Bronx NY 10467-8324 Ph: (212) 731-4685 | Reflective Therapy Lcsw Pllc 3041 Holland Ave Apt 3s Bronx NY 10467-8324 Ph: (212) 731-4685 |
| NPI Number | 1134700610 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Medicare PECOS PAC ID | 4880070739 |
|---|---|
| Medicare Enrollment ID | O20220930000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134700610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shane Devinne King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770986275 PECOS PAC ID: 6709298425 Enrollment ID: I20201221002485 |
Safe Space Licensed Clinical Social Work, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3249 Kingsbridge Ave, Bronx, NY 10463 Phone: 917-969-2445 | |
Bronx Addiction Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Waters Place, Building 13 Bronx Psychiatric Center, Bronx, NY 10461 Phone: 718-904-0026 Fax: 718-823-2048 | |
Rajesh Bhatnagar Physician Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3594 E Tremont Ave Ste 200, Bronx, NY 10465 Phone: 718-239-6987 Fax: 718-239-1601 | |
R.a.s Counseling Services,corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Jerome Ave, Bronx, NY 10468 Phone: 718-884-2168 Fax: 347-427-3339 | |
Bronx Lebanon Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E 167th St, Bronx, NY 10456 Phone: 718-590-1800 Fax: 718-579-7330 | |
Sudhir Gadh, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 E 149th St, Bronx, NY 10455 Phone: 718-673-9337 Fax: 718-310-3303 | |
Bebsy Estefan Md Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3050 Corlear Ave # Phb, Bronx, NY 10463 Phone: 347-248-8145 |