Remade Counseling and Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REMADE COUNSELING AND CONSULTING, LLC

Practice address

1820 Memorial Dr Ste 101
Clarksville, TN 37043-4693

Phone

(931) 801-5020

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Tiffinea Reid-Breaux

Title

Coo

Phone

(931) 801-5020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1508327255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL DR STE 101",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434693",
            "telephone_number": "931-801-5020",
            "fax_number": "931-614-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL DR STE 101",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434693",
            "telephone_number": "931-801-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMADE COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "REID-BREAUX",
        "authorized_official_first_name": "TIFFINEA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "931-801-5020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.