Rebirth Rehabilitation Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REBIRTH REHABILITATION COUNSELING LLC

Practice address

6418 Nesting Dr
Gonzales, LA 70737-8645

Phone

(225) 303-4897

Fax

(225) 612-6445

NPI assigned

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Harriette Raysheen Wade, LPC-SNPI 1679944979

Title

Owner/Chief Therapist

Phone

(225) 303-4897

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Harriette Raysheen Wade, MS, LPC

  • Professional Counselor
  • Gonzales, LA
  • NPI 1679944979
  NPD Authorized official

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1235805052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708011919",
            "telephone_number": "225-303-4897",
            "fax_number": "225-612-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6418 NESTING DR",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378645",
            "telephone_number": "225-303-4897",
            "fax_number": "225-612-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIRTH REHABILITATION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "HARRIETTE",
        "authorized_official_middle_name": "RAYSHEEN",
        "authorized_official_title_or_position": "OWNER/CHIEF THERAPIST",
        "authorized_official_telephone_number": "225-303-4897",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hrwade@rebirthrehabcounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6418 Nesting Dr",
            "city": "Gonzales",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707378645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.