Organization Active NPI

Reclaimed Life Therapy, Counseling, Consulting, Coaching, PLLC

  • Clinical Social Worker
  • Ardmore, AL
National Provider Identifier
1164288494
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RECLAIMED LIFE THERAPY, COUNSELING, CONSULTING, COACHING, PLLC
Practice address
26756 Main St
Ardmore, AL 35739-7624
Phone
(615) 881-9020
Fax
(256) 910-0820
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Clairday, LICSWNPI 1013489145
Title
Licsw
Phone
(615) 881-9020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

26756 Main St
Ardmore, AL 35739-7624

Mailing address

25455 Cotton Belt Rd
Elkmont, AL 35620-8037
Phone (615) 881-9020

Other practice location 1

25455 Cotton Belt Rd
Elkmont, AL 35620-8037
Phone (615) 881-9020

Other names 1

  • Reclaimed Life Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240411000289 AL Part B Supplier - Clinic/Group Practice 6002254976 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, AL

National Provider Directory

National Provider Directory

Locations

1260 US Highway 72 E
Ste B
Athens, AL 35611
Phone (615) 881-9020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1164288494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25455 COTTON BELT RD",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "356208037",
            "telephone_number": "615-881-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26756 MAIN ST",
            "city": "ARDMORE",
            "state": "AL",
            "postal_code": "357397624",
            "telephone_number": "615-881-9020",
            "fax_number": "256-910-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25455 Cotton Belt Rd",
            "address_purpose": "LOCATION",
            "city": "Elkmont",
            "state": "AL",
            "postal_code": "356208037",
            "country_code": "US",
            "telephone_number": "615-881-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECLAIMED LIFE THERAPY, COUNSELING, CONSULTING, COACHING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "CLAIRDAY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LICSW",
        "authorized_official_telephone_number": "615-881-9020",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reclaimed Life Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.