Organization
COGNITIVE RESTRUCTURING, LLC.
Active
Organization
COGNITIVE RESTRUCTURING, LLC.
Active
Other names
COGNITIVE RESTRUCTURING, LLC PHP
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH JAMES TAYLOR LCSW, LMS, CADC (OWNER)
(208) 242-3044
Entity
Organization
Contact information
Practice address
707 N 7TH AVE STE D, POCATELLO, ID 83201-5796
(208) 242-3044
Mailing address
707 N 7TH AVE STE D, POCATELLO, ID 83201-5796
(208) 242-3044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/09/2020
Last updated
02/17/2026
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