Provider Demographics
NPI:1346730017
Name:ART OF REDIRECTION COUNSELING
Entity Type:Organization
Organization Name:ART OF REDIRECTION COUNSELING
Other - Org Name:ART OF REDIRECTION COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-267-9228
Mailing Address - Street 1:6821 MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805-8552
Mailing Address - Country:US
Mailing Address - Phone:208-267-9228
Mailing Address - Fax:208-267-9228
Practice Address - Street 1:6821 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805-8552
Practice Address - Country:US
Practice Address - Phone:208-267-9228
Practice Address - Fax:208-267-9228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID36243101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty