Healthcare Provider Details

I. General information

NPI: 1710894035
Provider Name (Legal Business Name): RESHAPE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5127 APSLEY DR
MC LEANSVILLE NC
27301-9307
US

IV. Provider business mailing address

5127 APSLEY DR
MC LEANSVILLE NC
27301-9307
US

V. Phone/Fax

Practice location:
  • Phone: 336-279-0345
  • Fax:
Mailing address:
  • Phone: 336-279-0345
  • 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: MRS. RICKI SHERRI HOWELL
Title or Position: OWNER / LCMHCA
Credential: LCMHCA
Phone: 336-279-0345