Provider Demographics
NPI:1578849931
Name:REFLECTIONS FOR HEALING LLC
Entity Type:Organization
Organization Name:REFLECTIONS FOR HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:YOUNGS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:401-219-9400
Mailing Address - Street 1:1130 TEN ROD RD
Mailing Address - Street 2:SUITE D304
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852
Mailing Address - Country:US
Mailing Address - Phone:401-583-7800
Mailing Address - Fax:401-583-7801
Practice Address - Street 1:1130 TEN ROD RD
Practice Address - Street 2:SUITE D304
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852
Practice Address - Country:US
Practice Address - Phone:401-583-7800
Practice Address - Fax:401-583-7801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)