Provider Demographics
NPI:1063925105
Name:REFLECTIONS MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:REFLECTIONS MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCABEE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:662-612-6089
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:SENATOBIA
Mailing Address - State:MS
Mailing Address - Zip Code:38668-0194
Mailing Address - Country:US
Mailing Address - Phone:662-612-6089
Mailing Address - Fax:662-612-6313
Practice Address - Street 1:565 N ROBINSON ST
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-2118
Practice Address - Country:US
Practice Address - Phone:662-612-6089
Practice Address - Fax:662-612-6313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-12
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09381503Medicaid
MS07375851Medicaid
TNQ027727Medicaid