Provider Demographics
NPI:1205472727
Name:RED DOOR COUNSELING, L.L.C.
Entity type:Organization
Organization Name:RED DOOR COUNSELING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORGANIZER
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-886-5124
Mailing Address - Street 1:1490 N BANK PKWY STE 248
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2439
Mailing Address - Country:US
Mailing Address - Phone:205-886-5124
Mailing Address - Fax:
Practice Address - Street 1:1490 N BANK PKWY STE 248
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2439
Practice Address - Country:US
Practice Address - Phone:205-886-5124
Practice Address - Fax:205-752-4427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty