Provider Demographics
NPI:1639958515
Name:WHOLE REFLECTIONS, LLC
Entity Type:Organization
Organization Name:WHOLE REFLECTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGHERPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:940-765-5530
Mailing Address - Street 1:# 228 2505 WEST UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:# 228 2505 WEST UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 1010
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:940-765-5530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health