Provider Demographics
NPI:1992514871
Name:THE REFLECTION SPOT INDIVIDUAL & FAMILY THERAPY
Entity type:Organization
Organization Name:THE REFLECTION SPOT INDIVIDUAL & FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & LICENSED THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PAULSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, APCC
Authorized Official - Phone:951-456-2253
Mailing Address - Street 1:2420 RIVER RD # 240-5074
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-2268
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2420 RIVER RD # 240-5074
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2268
Practice Address - Country:US
Practice Address - Phone:951-456-2253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health