| Reflections Counsulting | |
|
607 Teaco Road Kennett MO 63857-3423 | |
| (573) 888-9828 | |
| (844) 270-0885 |
| Full Name | Reflections Counsulting |
|---|---|
| Speciality | Social Worker |
| Location | 607 Teaco Road, Kennett, Missouri |
| Authorized Official Name and Position | Tiffany Ann Leeker (OWNER) |
| Authorized Official Contact | 5738889828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflections Counsulting 607 Teaco Road Kennett MO 63857-3423 Ph: (573) 888-9828 | Reflections Counsulting 607 Teaco Road Kennett MO 63857-3423 Ph: (573) 888-9828 |
| NPI Number | 1932506524 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 10/18/2019 |
| Medicare PECOS PAC ID | 7911331038 |
|---|---|
| Medicare Enrollment ID | O20191226001289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932506524 | NPI | - | NPPES |
| 500031933 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2010018756 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tiffany Leeker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669562591 PECOS PAC ID: 4587703673 Enrollment ID: I20150218000236 |
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