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General NPI Number Information
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NPI Number | 1477072965
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Entity Type | Organization
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Legal Business Name | REFORMING LIVES COUNSELING AND CONSULTING, LLC
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 1706 S BURNSIDE AVE # 2349
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City | GONZALES
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State | LA
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Zip | 70737-4448
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Country | US
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Telephone | 225-903-5335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2349
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City | GONZALES
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State | LA
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Zip | 70707-2349
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Country | US
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Telephone | 225-903-5335
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHANDA JAMES
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Credential | LPC-S, NCC, BC-TMH
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Telephone | 225-903-5335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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