| Reflections Mental Health Llc | |
|
2802 Coho St Ste 203 Madison WI 53713-4521 | |
| (608) 436-0921 | |
| Not Available |
| Full Name | Reflections Mental Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 2802 Coho St Ste 203, Madison, Wisconsin |
| Authorized Official Name and Position | Rebecca Mahan-strupp (PARTNER) |
| Authorized Official Contact | 6084360921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflections Mental Health Llc 11618 N Maple Beach Dr Edgerton WI 53534-9078 Ph: (608) 436-0921 | Reflections Mental Health Llc 2802 Coho St Ste 203 Madison WI 53713-4521 Ph: (608) 436-0921 |
| NPI Number | 1720623226 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 11/08/2019 |
| Medicare PECOS PAC ID | 3375949761 |
|---|---|
| Medicare Enrollment ID | O20210910000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720623226 | NPI | - | NPPES |
| 1538584016 | Other | NPI | |
| 1164973160 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amy Albert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275043697 PECOS PAC ID: 4082968052 Enrollment ID: I20181109000274 |
| Provider Name | Grace Kanzenbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134716418 PECOS PAC ID: 3072919463 Enrollment ID: I20210910000206 |
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