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NPI Code Detail

MEDICARE: REFORMING LIVES COUNSELING AND CONSULTING, LLC

MEDICARE: REFORMING LIVES COUNSELING AND CONSULTING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1477072965
Entity Type Code : Organization
Provider Name (Legal Business Name) : REFORMING LIVES COUNSELING AND CONSULTING, LLC
Provider Business Mailing Address
First Line : PO BOX 2349
Second Line :
City : GONZALES
State : LA
Zip : 70707-2349
Country : US
Telephone Number : 225-903-5335
Fax Number :
Provider Business Practice Location Address
First Line : 1706 S BURNSIDE AVE # 2349
Second Line :
City : GONZALES
State : LA
Zip : 70737-4448
Country : US
Telephone Number : 225-903-5335
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SHANDA JAMES
Credential : LPC-S, NCC, BC-TMH
Telephone Number : 225-903-5335
Provider Enumeration Date : 09/15/2017
Last Update Date : 02/06/2026

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Directions to “REFORMING LIVES COUNSELING AND CONSULTING, LLC ” Practice Location

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