Provider Demographics
NPI:1669878393
Name:RED MILL COUNSELING LLC
Entity type:Organization
Organization Name:RED MILL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:OLLENDIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, NCC, LPC-S
Authorized Official - Phone:985-778-6433
Mailing Address - Street 1:209 HIGHWAY 22 W
Mailing Address - Street 2:SUITE G
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9476
Mailing Address - Country:US
Mailing Address - Phone:985-778-6433
Mailing Address - Fax:985-792-4889
Practice Address - Street 1:209 HIGHWAY 22 W
Practice Address - Street 2:SUITE G
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-9476
Practice Address - Country:US
Practice Address - Phone:985-778-6433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4386251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare