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:
Authorized official contact:
Name: Dingman, Ella Licensed Clinical Social Worker (LCSW)
Phone: (208) 478-8340
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1174673305 |
|---|---|
| LBN Legal business name | Candlewood Family Counseling Center, Inc. |
| DBA Doing business as | |
| Authorized official | Dingman, Ella Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jan 16th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174673305 | NPPES |
| Idaho | MEDICAID | 1093911828 | |
| Idaho | MEDICAID | 1912103748 | |
| Idaho | MEDICAID | 1831395656 | |
| Idaho | MEDICAID | 1588860308 |
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