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General NPI Number Information
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NPI Number | 1629992862
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Entity Type | Organization
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Legal Business Name | RESET CCC: CHRISTIAN AND CLINICAL COUNSELING, LLC
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 2455 HIGHWAY 28 E
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City | PINEVILLE
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State | LA
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Zip | 71360-4650
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Country | US
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Telephone | 318-664-3428
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Fax |
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Provider Business Mailing Address
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Address Line | 192 HAYES CEMETERY RD
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City | EFFIE
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State | LA
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Zip | 71331-3445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MELISSA DANIEL
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Credential | LPC-S
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Telephone | 318-664-3428
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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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