Healthcare Provider Details

I. General information

NPI: 1861302697
Provider Name (Legal Business Name): REFLECTIVE MOMENTS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 KENT RD STE 13
NEW MILFORD CT
06776-5530
US

IV. Provider business mailing address

13 ANDERSON AVE
NEW MILFORD CT
06776-3625
US

V. Phone/Fax

Practice location:
  • Phone: 203-645-6157
  • Fax:
Mailing address:
  • Phone: 203-645-6157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: GENA WILLIAMSON
Title or Position: MANAGING MEMBER
Credential: LCSW
Phone: 203-645-6157