| Life Reflections Llc | |
|
10 S Randolph Ave Elkins WV 26241-3713 | |
| (304) 637-1002 | |
| (304) 636-3829 |
| Full Name | Life Reflections Llc |
|---|---|
| Speciality | Counselor |
| Location | 10 S Randolph Ave, Elkins, West Virginia |
| Authorized Official Name and Position | Judith G Kramer (OWNER) |
| Authorized Official Contact | 3046371002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Reflections Llc 10 S Randolph Ave Elkins WV 26241-3713 Ph: (304) 637-1002 | Life Reflections Llc 10 S Randolph Ave Elkins WV 26241-3713 Ph: (304) 637-1002 |
| NPI Number | 1265516884 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 01/23/2008 |
| Medicare PECOS PAC ID | 8426098831 |
|---|---|
| Medicare Enrollment ID | O20050505000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265516884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Judith Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154405769 PECOS PAC ID: 3870533284 Enrollment ID: I20110721000434 |
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