Provider Demographics
NPI:1598171886
Name:RNLL CONSULTING LLC
Entity Type:Organization
Organization Name:RNLL CONSULTING LLC
Other - Org Name:FIRST CHOICE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NAAMAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAUDERDALE
Authorized Official - Suffix:
Authorized Official - Credentials:BA,MA,MDAAC,MRAS,
Authorized Official - Phone:800-479-8234
Mailing Address - Street 1:7450 NATURAL BRIDGE RD
Mailing Address - Street 2:210516
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-8100
Mailing Address - Country:US
Mailing Address - Phone:800-479-8234
Mailing Address - Fax:877-819-8247
Practice Address - Street 1:5621 DELMAR BLVD
Practice Address - Street 2:104B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112-2656
Practice Address - Country:US
Practice Address - Phone:800-479-8234
Practice Address - Fax:877-819-8247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL0712030150305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service