REDEEMING HEARTS LLC NPI 1700379443

NPI Information

NPI: 1700379443
Provider Name: REDEEMING HEARTS LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1103 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814
Phone: (509) 336-5972
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REDEEMING HEARTS LLC is a mental health counselor in Coeur D Alene, ID. REDEEMING HEARTS LLC NPI is 1700379443. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1103 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814-604
Phone: (509) 336-5972

The provider's authorized official is Jack Anthony Venbrux .
The authorized official title is Sole Member and has the following contact phone number (509) 336-5972.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 10/25/2018.

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	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LH60249089	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LH60249089	OTHER	WASHINGTON	PROVIDER LICENSE WA STATE
2	LCPC-6701	OTHER	IDAHO	PROVIDER LICENSE STATE OF IDAHO

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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