Provider Demographics
NPI:1528711447
Name:PAMELA THOMAS REFLECTIONS
Entity type:Organization
Organization Name:PAMELA THOMAS REFLECTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCDC, AADC
Authorized Official - Phone:512-987-7863
Mailing Address - Street 1:7706 STEPHANY TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-4066
Mailing Address - Country:US
Mailing Address - Phone:512-987-7863
Mailing Address - Fax:
Practice Address - Street 1:1005 CONGRESS AVE STE 925
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3051
Practice Address - Country:US
Practice Address - Phone:512-987-7863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOBAL HABILITATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-31
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty