Organization
GOLDEN REFLECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA VANHOUTEN L.I.S.W.-S (OWNER)
(419) 566-2891
Entity
Organization
Contact information
Practice address
7807 STATE ROUTE 309 LOT 1, GALION, OH 44833-9752
(419) 566-2891
(567) 393-9480
Mailing address
PO BOX 877, GALION, OH 44833-0877
(419) 566-2891
(567) 393-9091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1302300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217680
—
OH
Enumeration date
09/07/2016
Last updated
11/14/2022
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