Provider Demographics
NPI:1699533828
Name:HEALING REFLECTIONS
Entity type:Organization
Organization Name:HEALING REFLECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:EVADNE
Authorized Official - Last Name:TATUM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-931-2116
Mailing Address - Street 1:10100 IRON BRIDGE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-6507
Mailing Address - Country:US
Mailing Address - Phone:804-220-5600
Mailing Address - Fax:804-808-1957
Practice Address - Street 1:10100 IRON BRIDGE RD STE 202
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-6507
Practice Address - Country:US
Practice Address - Phone:804-220-5600
Practice Address - Fax:804-808-1957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty