Provider Demographics
NPI:1588490627
Name:MINDFUL REFLECTIONS THERAPY LLC
Entity type:Organization
Organization Name:MINDFUL REFLECTIONS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:DUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, CRC
Authorized Official - Phone:813-600-0690
Mailing Address - Street 1:7142 ROYAL GEORGE CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-8265
Mailing Address - Country:US
Mailing Address - Phone:813-600-0690
Mailing Address - Fax:
Practice Address - Street 1:7142 ROYAL GEORGE CT
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-8265
Practice Address - Country:US
Practice Address - Phone:813-600-0690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health