Healthcare Provider Details

I. General information

NPI: 1952851271
Provider Name (Legal Business Name): RATIONAL LIFESTYLE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 PEACH LN
FORT SUMNER NM
88119-9018
US

IV. Provider business mailing address

176 PEACH LN
FORT SUMNER NM
88119-9018
US

V. Phone/Fax

Practice location:
  • Phone: 505-289-0456
  • Fax: 855-368-1795
Mailing address:
  • Phone: 505-289-0456
  • Fax: 855-368-1795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0132951
License Number StateNM

VIII. Authorized Official

Name: MS. RHONDA R SHIELDS
Title or Position: OWNER
Credential: LPCC
Phone: 505-289-0456