Organization
REFLECTION HEALTH SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUANIKA SHUNTAAYE SIMPSON-JACKSON MEDICAL DIRECTOR (OWNER)
(602) 698-8261
Entity
Organization
Contact information
Practice address
202 E EARLL DR STE 360, PHOENIX, AZ 85012-2677
(602) 698-8261
Mailing address
5060 N 19TH AVE STE 300-28, PHOENIX, AZ 85015-3210
(602) 698-8261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
03/26/2019
Last updated
07/28/2020
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