Provider Demographics
NPI:1285275420
Name:REFLECTIVE MINDS LLC
Entity type:Organization
Organization Name:REFLECTIVE MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:831-915-7434
Mailing Address - Street 1:PO BOX 7352
Mailing Address - Street 2:
Mailing Address - City:SPRECKELS
Mailing Address - State:CA
Mailing Address - Zip Code:93962-7352
Mailing Address - Country:US
Mailing Address - Phone:831-915-7434
Mailing Address - Fax:888-242-4398
Practice Address - Street 1:137 CENTRAL AVE STE 5A
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2656
Practice Address - Country:US
Practice Address - Phone:831-915-7434
Practice Address - Fax:888-242-4398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty