Provider Demographics
NPI:1750028841
Name:REFLECTION IS HEALING COUNSELING SERVICES
Entity Type:Organization
Organization Name:REFLECTION IS HEALING COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SIERA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:MSED,LCPC
Authorized Official - Phone:773-939-2613
Mailing Address - Street 1:104 E STATE ST UNIT 767
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-3524
Mailing Address - Country:US
Mailing Address - Phone:773-939-2613
Mailing Address - Fax:
Practice Address - Street 1:215 W ELM ST STE 100A
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-1858
Practice Address - Country:US
Practice Address - Phone:773-939-2613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty