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REFLECTION HEALTH SERVICES L.L.C. NPI 1134680820


NPI Information

NPI: 1134680820
Provider Name: REFLECTION HEALTH SERVICES L.L.C.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
202 E EARLL DR STE 360
PHOENIX, AZ
ZIP 85012
Phone: (602) 698-8261
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REFLECTION HEALTH SERVICES L.L.C. is a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. REFLECTION HEALTH SERVICES L.L.C. NPI is 1134680820. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

202 E EARLL DR STE 360
PHOENIX, AZ
ZIP 85012-677
Phone: (602) 698-8261

The provider's authorized official is Quanika Shuntaaye Simpson-jackson .
The authorized official title is Owner and has the following contact phone number (602) 698-8261.

The enumeration date for this NPI number is 3/26/2019 and was last updated on 7/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2251B00000XCase ManagementNo
3251C00000XDay Training, Developmentally Disabled ServicesNo
4261QD1600XClinic/CenterDevelopmental DisabilitiesNo
5261QM0850XClinic/CenterAdult Mental HealthNo
6261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
7261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
8320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes
9320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
10323P00000XPsychiatric Residential Treatment FacilityNo
11252Y00000XEarly Intervention Provider AgencyNo
12251S00000XCommunity/Behavioral HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.