Provider Demographics
NPI:1598008500
Name:CLEAR REFLECTIONS COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:CLEAR REFLECTIONS COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EVERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MH
Authorized Official - Phone:605-690-4755
Mailing Address - Street 1:922 4TH ST STE R
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-2173
Mailing Address - Country:US
Mailing Address - Phone:605-690-4755
Mailing Address - Fax:605-692-8997
Practice Address - Street 1:922 4TH ST STE R
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-2173
Practice Address - Country:US
Practice Address - Phone:605-690-4755
Practice Address - Fax:605-692-8997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC-MH2055101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty