Provider Demographics
NPI:1760855076
Name:LOOKING GLASS COUNSELING LLC
Entity Type:Organization
Organization Name:LOOKING GLASS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REICHERT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-401-7576
Mailing Address - Street 1:402 HIGHLAND AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2548
Mailing Address - Country:US
Mailing Address - Phone:617-401-7576
Mailing Address - Fax:
Practice Address - Street 1:402 HIGHLAND AVE
Practice Address - Street 2:SUITE G
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2548
Practice Address - Country:US
Practice Address - Phone:617-401-7576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6495101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty