Healthcare Provider Details

I. General information

NPI: 1700694221
Provider Name (Legal Business Name): MINDFUL REFLECTIONS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7142 ROYAL GEORGE CT
WESLEY CHAPEL FL
33545-8265
US

IV. Provider business mailing address

7142 ROYAL GEORGE CT
WESLEY CHAPEL FL
33545-8265
US

V. Phone/Fax

Practice location:
  • Phone: 813-600-0690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ASHLEY NICOLE DUNNE
Title or Position: OWNER/CLINICIAN
Credential: MA, LMHC, CRC
Phone: 813-600-0690