COGNITIVE RESTRUCTURING LLC. NPI 1255971024

NPI Information

NPI: 1255971024
Provider Name: COGNITIVE RESTRUCTURING, LLC.

Other Name: COGNITIVE RESTRUCTURING, LLC PHP

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
707 N 7TH AVE STE D
POCATELLO, ID
ZIP 83201
Phone: (208) 242-3044
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COGNITIVE RESTRUCTURING, LLC. is a rehabilitation and substance use disorder clinic center in Pocatello, ID. COGNITIVE RESTRUCTURING, LLC. NPI is 1255971024. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cognitive Restructuring, Llc Php.

The provider's business location address is:

707 N 7TH AVE STE D
POCATELLO, ID
ZIP 83201-796
Phone: (208) 242-3044

The provider's authorized official is Kenneth James Taylor .
The authorized official title is Owner and has the following contact phone number (208) 757-0803.

The enumeration date for this NPI number is 1/9/2020 and was last updated on 5/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	175T00000X	Peer Specialist		No
3	251B00000X	Case Management		No
4	251S00000X	Community/Behavioral Health		No
5	261QM0850X	Clinic/Center	Adult Mental Health	No
6	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
7	324500000X	Substance Abuse Rehabilitation Facility		No
8	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
9	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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