| Self Reflections Counseling Llc | |
|
690 Friday Rd Cocoa FL 32926-3317 | |
| (321) 961-4578 | |
| Not Available |
| Full Name | Self Reflections Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 690 Friday Rd, Cocoa, Florida |
| Authorized Official Name and Position | Debra Matthews-robinson (CEO) |
| Authorized Official Contact | 3219614578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Reflections Counseling Llc 414 Dryden Cir Cocoa FL 32926-2484 Ph: () - | Self Reflections Counseling Llc 690 Friday Rd Cocoa FL 32926-3317 Ph: (321) 961-4578 |
| NPI Number | 1649019472 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Medicare PECOS PAC ID | 0749720761 |
|---|---|
| Medicare Enrollment ID | O20241218002180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649019472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debra Sue Matthews-robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982173365 PECOS PAC ID: 1658811674 Enrollment ID: I20241218002309 |
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