Provider Demographics
NPI:1457913956
Name:REFLECTIVE SPIRIT COUNSELING
Entity Type:Organization
Organization Name:REFLECTIVE SPIRIT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:SELBY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:517-544-4294
Mailing Address - Street 1:7034 WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-3031
Mailing Address - Country:US
Mailing Address - Phone:517-455-4294
Mailing Address - Fax:517-646-9103
Practice Address - Street 1:123 LANSING ST STE 2
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813-1696
Practice Address - Country:US
Practice Address - Phone:517-543-9500
Practice Address - Fax:517-543-9528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1508846700Medicaid