Organization
REFLEJO PSYCH, PLLC
Active
Organization
REFLEJO PSYCH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BANUELOS (OWNER)
(401) 213-9766
Entity
Organization
Contact information
Practice address
8003 S INTERSTATE HIGHWAY 35 APT 2517, AUSTIN, TX 78744
(401) 213-9766
Mailing address
539 W COMMERCE ST STE 4293, DALLAS, TX 75208-1953
(401) 213-9766
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2024
Last updated
06/04/2024
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