| Reflective Counseling Services, Pllc | |
|
1195 Shining Water Ln Creedmoor NC 27522-7243 | |
| (984) 209-0303 | |
| Not Available |
| Full Name | Reflective Counseling Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1195 Shining Water Ln, Creedmoor, North Carolina |
| Authorized Official Name and Position | Shanta Lavette Johnson (OWNER) |
| Authorized Official Contact | 9842090303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reflective Counseling Services, Pllc Po Box 903 Creedmoor NC 27522-0903 Ph: () - | Reflective Counseling Services, Pllc 1195 Shining Water Ln Creedmoor NC 27522-7243 Ph: (984) 209-0303 |
| NPI Number | 1679067995 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 2567796469 |
|---|---|
| Medicare Enrollment ID | O20190626003273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679067995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C008341 (North Carolina) | Primary |
| Provider Name | Shanta Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023569613 PECOS PAC ID: 5496036220 Enrollment ID: I20170110000555 |
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