Clear Reflections Psychotherapy PLLC
Organization Active NPI Psychologist · Brooklyn, MI
NPI 1164057436 · NPPES record last updated Mar 7, 2020
Key facts
- NPI
- 1164057436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- CLEAR REFLECTIONS PSYCHOTHERAPY PLLC
- Practice address
- 225 S Main St Ste C
Brooklyn, MI 49230-9158 - Phone
- (517) 414-0065
- NPI assigned
- Mar 7, 2020
- Organization subpart
- No
Authorized official
- Name
- Traci Breniser Wilson, MA LLP
- Title
- Psychotherapist
- Phone
- (517) 414-0065
National Provider Directory
Locations
225 S Main St
Ste C
Brooklyn, MI 49230
Phone (517) 414-0065
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | Yes |
Addresses
Primary practice location
225 S Main St Ste C
Brooklyn, MI 49230-9158
Mailing address
124 Nicole Dr
Brooklyn, MI 49230-9379
Phone (517) 414-0065
Other names
- Clear Reflections
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | traci@traci-wilson.com | Direct | |
| Direct Messaging Address | Traci@traci-wilson.com | Direct |
Other providers in Brooklyn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.