Reflections Wellness Boutique LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REFLECTIONS WELLNESS BOUTIQUE LLC

Practice address

6605 W Broad St
Sutie G202
Henrico, VA 23230-1714

Phone

(804) 285-6059

Fax

(804) 282-2380

NPI assigned

Feb 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Becky V. McCormack, CMF

Title

VP

Phone

(804) 285-6059

Specialties & licenses 1

Addresses

Tax ID family

Reflections Wellness Boutique LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reflections Wellness Boutique LLC

  • Durable Medical Equipment & Medical Supplies
  • Midlothian, VA
  • NPI 1437192168
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1285873174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 W BROAD ST",
            "address_2": "SUTIE G202",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232301714",
            "telephone_number": "804-285-6059",
            "fax_number": "804-282-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 W BROAD ST",
            "address_2": "SUTIE G202",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232301714",
            "telephone_number": "804-285-6059",
            "fax_number": "804-282-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS WELLNESS BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "804-285-6059",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauryn Reese
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• Regenpro LLC
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• Renewal, Growth, & Healing
• Renewed Pathways Behavioral Health

• Durable Medical Equipment & Medical Supplies in Henrico, VA
• Providers in Henrico, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.