Provider Demographics
NPI:1346799293
Name:MIRROR REFLECTIONS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:MIRROR REFLECTIONS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:HEARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-978-3944
Mailing Address - Street 1:PO BOX 4165
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06147-4165
Mailing Address - Country:US
Mailing Address - Phone:860-978-3944
Mailing Address - Fax:860-461-7375
Practice Address - Street 1:943 SILAS DEANE HWY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-4270
Practice Address - Country:US
Practice Address - Phone:860-978-3944
Practice Address - Fax:860-461-7375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty