Reflection Academy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REFLECTION ACADEMY LLC

Practice address

1312 Chesapeake Ave
Hampton, VA 23661-3122

Phone

(757) 247-0039

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Ruby Ely

Title

Chief Executive

Phone

(757) 247-0039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1801330949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 CHESAPEAKE AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236613122",
            "telephone_number": "757-247-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 CHESAPEAKE AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236613122",
            "telephone_number": "757-247-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTION ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "ELY",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "757-247-0039",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Hampton, VA
• Providers in Hampton, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.