Healthcare Provider Details

I. General information

NPI: 1295661171
Provider Name (Legal Business Name): REFLECTING LIGHT THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 S WASHINGTON AVE STE 300
ROYAL OAK MI
48067-3834
US

IV. Provider business mailing address

306 S WASHINGTON AVE STE 300
ROYAL OAK MI
48067-3834
US

V. Phone/Fax

Practice location:
  • Phone: 248-270-2048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HALEIGH JAFFE
Title or Position: OWNER/CLINICIAN
Credential:
Phone: 248-270-2048