Introspection & Reflection

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

009203 Issued in GA

Legal business name

INTROSPECTION & REFLECTION

Practice address

184 Hamilton Grove Dr
Pooler, GA 31322-9644

Phone

(912) 346-5344

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Daysha Phimphone, LPC

Title

Owner

Phone

(912) 346-5344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1467990119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 HAMILTON GROVE DRIVE",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "31322",
            "telephone_number": "912-346-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 HAMILTON GROVE DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229644",
            "telephone_number": "912-346-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTROSPECTION & REFLECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "PHIMPHONE",
        "authorized_official_first_name": "DAYSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-346-5344",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "009203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Pooler, GA
• Providers in Pooler, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.