Active NPI
Reclaimed Life Therapy, Counseling, Consulting, Coaching, PLLC
- Clinical Social Worker
- Ardmore, AL
National Provider Identifier
1164288494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Clairday, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240411000289 | AL | Part B Supplier - Clinic/Group Practice | 6002254976 |
Receives reassigned benefits from 1 practitioner Practice locations: Athens, AL |
National Provider Directory
National Provider DirectoryLocations
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.