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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