Healthcare Provider Details

I. General information

NPI: 1851226583
Provider Name (Legal Business Name): REDDING PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W ALTO RD STE 4
KOKOMO IN
46902-4970
US

IV. Provider business mailing address

280 S UNION ST
RUSSIAVILLE IN
46979-9106
US

V. Phone/Fax

Practice location:
  • Phone: 765-697-7090
  • Fax: 765-204-0414
Mailing address:
  • Phone: 765-697-7090
  • Fax: 765-204-0414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAURA REDDING
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: MA, LMHC
Phone: 765-210-2208