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General NPI Number Information
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NPI Number | 1164288494
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Entity Type | Organization
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Legal Business Name | RECLAIMED LIFE THERAPY, COUNSELING, CONSULTING, COACHING, PLLC
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 26756 MAIN ST
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City | ARDMORE
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State | AL
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Zip | 35739-7624
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Country | US
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Telephone | 615-881-9020
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Fax | 256-910-0820
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Provider Business Mailing Address
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Address Line | 25455 COTTON BELT RD
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City | ELKMONT
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State | AL
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Zip | 35620-8037
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Country | US
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Telephone | 615-881-9020
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Fax |
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Authorized Official
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Title or Position | LICSW
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Name | AMANDA CLAIRDAY
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Credential | LICSW
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Telephone | 615-881-9020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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