Provider Demographics
NPI:1578127346
Name:REDEEMED LIFE COUNSELING, LLC
Entity Type:Organization
Organization Name:REDEEMED LIFE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:FITZHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:940-395-9262
Mailing Address - Street 1:300 SANDERS RD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8514
Mailing Address - Country:US
Mailing Address - Phone:940-395-9262
Mailing Address - Fax:214-853-4311
Practice Address - Street 1:415 HIGHWAY 377 S STE 102
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-5140
Practice Address - Country:US
Practice Address - Phone:940-222-8552
Practice Address - Fax:214-853-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-27
Last Update Date:2019-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty