Provider Demographics
NPI:1083481980
Name:RESET AND REFLECT WELLNESS
Entity Type:Organization
Organization Name:RESET AND REFLECT WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:581-989-3741
Mailing Address - Street 1:9230 OLD KEENE MILL RD # 1069
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-4201
Mailing Address - Country:US
Mailing Address - Phone:571-989-3741
Mailing Address - Fax:
Practice Address - Street 1:9230 OLD KEENE MILL RD # 1069
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-4201
Practice Address - Country:US
Practice Address - Phone:571-989-3741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESET AND REFLECT WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-11
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health