Provider Demographics
NPI:1235670910
Name:REFLECTIONS COUNSELING
Entity Type:Organization
Organization Name:REFLECTIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOGUT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC
Authorized Official - Phone:407-569-5199
Mailing Address - Street 1:600 N THACKER AVE
Mailing Address - Street 2:SUITE D-44
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4892
Mailing Address - Country:US
Mailing Address - Phone:407-569-5199
Mailing Address - Fax:407-835-5610
Practice Address - Street 1:600 N THACKER AVE
Practice Address - Street 2:SUITE D-44
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4892
Practice Address - Country:US
Practice Address - Phone:407-569-5199
Practice Address - Fax:407-835-5610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11135251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1376801605OtherPERSONAL NPI