Provider Demographics
NPI:1215476551
Name:REFLECTIONS OF RECOVERY, INC
Entity type:Organization
Organization Name:REFLECTIONS OF RECOVERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONBOARDING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KORNMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-672-8345
Mailing Address - Street 1:4400 N HIGHWAY 19A
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-2032
Mailing Address - Country:US
Mailing Address - Phone:352-308-8281
Mailing Address - Fax:
Practice Address - Street 1:4400 N HIGHWAY 19A
Practice Address - Street 2:SUITE 6
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-2032
Practice Address - Country:US
Practice Address - Phone:352-308-8281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3501261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder