Provider Demographics
NPI:1285900795
Name:REFLECTIONS OF MENTAL HEALTH, INC
Entity type:Organization
Organization Name:REFLECTIONS OF MENTAL HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICKKI-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-549-8100
Mailing Address - Street 1:18425 NW 2ND AVE STE 404B
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4525
Mailing Address - Country:US
Mailing Address - Phone:305-549-8100
Mailing Address - Fax:786-565-3015
Practice Address - Street 1:18425 NW 2ND AVE STE 404B
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4525
Practice Address - Country:US
Practice Address - Phone:305-549-8100
Practice Address - Fax:786-565-3015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109266261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)