Healthcare Provider Details

I. General information

NPI: 1629992862
Provider Name (Legal Business Name): RESET CCC: CHRISTIAN AND CLINICAL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2455 HIGHWAY 28 E
PINEVILLE LA
71360-4650
US

IV. Provider business mailing address

192 HAYES CEMETERY RD
EFFIE LA
71331-3445
US

V. Phone/Fax

Practice location:
  • Phone: 318-664-3428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELISSA DANIEL
Title or Position: OWNER/ADMINISTRATOR
Credential: LPC-S
Phone: 318-664-3428