Provider Demographics
NPI:1912751488
Name:REFLECTIVE HEALING LLC
Entity Type:Organization
Organization Name:REFLECTIVE HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAROLDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:208-254-4489
Mailing Address - Street 1:705B SE MELODY LN
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-4380
Mailing Address - Country:US
Mailing Address - Phone:208-254-4489
Mailing Address - Fax:208-264-3890
Practice Address - Street 1:107 NE MAGGIE AVE, UNIT B
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2087
Practice Address - Country:US
Practice Address - Phone:208-254-4489
Practice Address - Fax:208-264-3890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty