Healthcare Provider Details

I. General information

NPI: 1568330587
Provider Name (Legal Business Name): RECONCILED HOPE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 SIGNAL MOUNTAIN RD STE 131
CHATTANOOGA TN
37405-1933
US

IV. Provider business mailing address

41 EAST CT
RINGGOLD GA
30736-5591
US

V. Phone/Fax

Practice location:
  • Phone: 423-930-9030
  • Fax:
Mailing address:
  • Phone: 423-930-9030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: EDWARD WEST BREEDLOVE
Title or Position: THERAPIST
Credential: LPC, MHSP, NCC
Phone: 423-930-9030