Provider Demographics
NPI:1437763273
Name:REFLECTIVE MENTAL HEALTH PLLC
Entity Type:Organization
Organization Name:REFLECTIVE MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, LCMHC
Authorized Official - Phone:978-242-7716
Mailing Address - Street 1:497 HOOKSETT RD STE 238
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2632
Mailing Address - Country:US
Mailing Address - Phone:978-242-7716
Mailing Address - Fax:
Practice Address - Street 1:497 HOOKSETT RD STE 238
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2632
Practice Address - Country:US
Practice Address - Phone:978-242-7716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty