Provider Demographics
NPI:1518621341
Name:ARTIZO MINISTRIES
Entity Type:Organization
Organization Name:ARTIZO MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLECKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LPC, CAADC
Authorized Official - Phone:336-298-2944
Mailing Address - Street 1:809 MAIN ST STE 37
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-4207
Mailing Address - Country:US
Mailing Address - Phone:336-298-2944
Mailing Address - Fax:336-818-5444
Practice Address - Street 1:809 MAIN ST STE 37
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-4207
Practice Address - Country:US
Practice Address - Phone:336-298-2944
Practice Address - Fax:336-818-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty