Provider Demographics
NPI:1346128170
Name:RECLAIM INTIMACY: SEX, TRAUMA, & RELATIONSHIP COUNSELING PLLC
Entity type:Organization
Organization Name:RECLAIM INTIMACY: SEX, TRAUMA, & RELATIONSHIP COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODENKIRCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:262-373-8213
Mailing Address - Street 1:1312 N GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61606-1013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1312 N GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61606-1013
Practice Address - Country:US
Practice Address - Phone:262-373-8213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)