Provider Demographics
NPI:1275094427
Name:REFLECTIVE ARTISTRY STUDIO AND COUNSELING, LLC
Entity Type:Organization
Organization Name:REFLECTIVE ARTISTRY STUDIO AND COUNSELING, LLC
Other - Org Name:REFLECTIVE ARTISTRY STUDIO AND COUNSELING, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:OXFORD
Authorized Official - Suffix:
Authorized Official - Credentials:ATR-BC, LPC
Authorized Official - Phone:610-290-4177
Mailing Address - Street 1:PO BOX 722
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:PA
Mailing Address - Zip Code:18013-0722
Mailing Address - Country:US
Mailing Address - Phone:610-290-4177
Mailing Address - Fax:
Practice Address - Street 1:212 S 1ST ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:PA
Practice Address - Zip Code:18013-2640
Practice Address - Country:US
Practice Address - Phone:610-290-4177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC010082OtherTHERAPIST