Provider Demographics
NPI:1588925903
Name:REFLECTIONS PSYCHOTHERAPY, P.C.
Entity type:Organization
Organization Name:REFLECTIONS PSYCHOTHERAPY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:MARX
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:847-483-9701
Mailing Address - Street 1:10024 SKOKIE BLVD STE 223
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-9989
Mailing Address - Country:US
Mailing Address - Phone:847-483-9701
Mailing Address - Fax:
Practice Address - Street 1:355 W DUNDEE RD STE 214
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-3500
Practice Address - Country:US
Practice Address - Phone:847-483-9701
Practice Address - Fax:847-483-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-01
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty