Healthcare Provider Details
I. General information
NPI: 1831005800
Provider Name (Legal Business Name): REFLECTIVE JOURNEY COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2755 CHURCH RD APT 2
AURORA IL
60502-9764
US
IV. Provider business mailing address
2755 CHURCH RD APT 2
AURORA IL
60502-9764
US
V. Phone/Fax
- Phone: 331-322-0871
- Fax:
- Phone: 331-322-0871
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATRICK
NOONAN
Title or Position: FOUNDER / OWNER
Credential:
Phone: 331-322-0871