Redefining Relationships, Acceptance, Empowerment, & Love, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071008691 Issued in IL

Legal business name

REDEFINING RELATIONSHIPS, ACCEPTANCE, EMPOWERMENT, & LOVE, LLC

Practice address

2501 Chatham Rd Ste R
Springfield, IL 62704-4188

Phone

(773) 599-3141

NPI assigned

Feb 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Alexis Clarke, PHD

Title

Licensed Psychologist

Phone

(773) 599-3141

Specialties & licenses 1

Addresses

Other names 1

• RRAEL Counseling, LLC Doing business as

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633824000000",
    "number": "1396245155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE R",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "773-599-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE R",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "773-599-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINING RELATIONSHIPS, ACCEPTANCE, EMPOWERMENT, & LOVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-19",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-599-3141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RRAEL Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reclaiming Willow Counseling LLC.
• Danielle L Redding, APRN
• Obul Reddy, MD
• Ranga V Reddy, MD
• Tonya Lee Reddy, FNP-BC
• Meagan Redoutey, PA-C
• Clarissa A. Reed, PA-C
• Hannah B. Reed, WHNP
• Katelyn Marie Reed, NP-C
• Kelsey Lynne Reed, FNP

• Psychologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.