Healthcare Provider Details

I. General information

NPI: 1801752001
Provider Name (Legal Business Name): THE REFLECTIVE STUDIO: ART THERAPY & COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17700 W CAPITOL DR
BROOKFIELD WI
53045-2006
US

IV. Provider business mailing address

17700 W CAPITOL DR
BROOKFIELD WI
53045-2006
US

V. Phone/Fax

Practice location:
  • Phone: 262-453-5800
  • Fax:
Mailing address:
  • Phone: 262-453-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE C MATIC
Title or Position: OWNER & THERAPIST
Credential: LPC, LCPC, ATR-BC
Phone: 262-453-5800