Candlewood Family Counseling Center, Inc.

LBN: Candlewood Family Counseling Center, Inc.
Candlewood Family Counseling Center, Inc. is an health care organization with primary practice located at 335 N Main St , Pocatello ID 83204-3108. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Candlewood Family Counseling Center, Inc. can be contacted via phone (208) 478-8340, or through Dingman, Ella via phone (208) 478-8340.

Contact Information

Primary practice address
335 N Main St Pocatello ID 83204-3108
Phone: (208) 478-8340
Fax: (208) 478-8341
Website:
Map and Directions
Authorized official contact:
Name: Dingman, Ella LCSW, ACSW
Phone: (208) 478-8340

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Idaho

Profile Details

NPI number 1093911828
LBN Legal business name Candlewood Family Counseling Center, Inc.
DBA Doing business as
Authorized official Dingman, Ella LCSW, ACSW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Feb 19th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093911828 NPPES
Idaho MEDICAID 1093911828
Idaho MEDICAID 1588860308
Idaho MEDICAID 1912103748
Idaho Other 1174673305
Idaho MEDICAID 1831395656

Popular Providers