Progressive Reflection for Change, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801087438 Issued in MI

Legal business name

PROGRESSIVE REFLECTION FOR CHANGE, LLC

Practice address

157 S Kalamazoo Mall
Suite 110
Kalamazoo, MI 49007-4877

Phone

(269) 350-5661

Fax

(269) 350-5501

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Rene' Wade-Jones, LMSW

Title

President

Phone

(269) 350-5661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1740673698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S ROSE ST",
            "address_2": "SUITE 617",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074792",
            "telephone_number": "269-350-5661",
            "fax_number": "269-350-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 S KALAMAZOO MALL",
            "address_2": "SUITE 110",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074877",
            "telephone_number": "269-350-5661",
            "fax_number": "269-350-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE REFLECTION FOR CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "WADE-JONES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "RENE'",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-350-5661",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801087438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Kalamazoo, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.