MEDICARE: REDEEMED TRANSFORMATIVE COUNSELING SERVICES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor
4	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1750227575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDEEMED TRANSFORMATIVE COUNSELING SERVICES, PLLC

Provider Business Mailing Address
First Line	:	2112 SW H K DODGEN LOOP STE 183
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-7014
Country	:	US
Telephone Number	:	254-677-8815
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 SW H K DODGEN LOOP STE 183
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-7014
Country	:	US
Telephone Number	:	254-677-8815
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL SOCIAL WORKER
Name	:	MS. SHAMARA ANTOINETTE HENRY
Credential	:	LCSW, LCDC
Telephone Number	:	254-681-5092

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	06/09/2026

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