Organization
ESSENTIAL REFLECTIONS COUNSELING AND CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BANKS RAIMEY LISW-S (OWNER)
(937) 550-8996
Entity
Organization
Contact information
Practice address
4130 LINDEN AVE STE 320, DAYTON, OH 45432-3034
(937) 603-7746
Mailing address
4130 LINDEN AVE STE 320, DAYTON, OH 45432-3034
(937) 603-7746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318010
—
OH
Enumeration date
09/02/2019
Last updated
09/25/2019
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