Central Mountains Counseling, Pllc

LBN: Central Mountains Counseling, Pllc
Central Mountains Counseling, Pllc is an health care organization with primary practice located at 301 Deinhard Ln , Mccall ID 83638-4703. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Central Mountains Counseling, Pllc can be contacted via phone (208) 630-4040, or through Wilson, Jacob W. via phone (208) 630-4040.

Contact Information

Primary practice address
301 Deinhard Ln Mccall ID 83638-4703
Phone: (208) 630-4040
Fax: (208) 634-4055
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Jacob W. Licensed Clinical Social Worker (LCSW)
Phone: (208) 630-4040

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LCSW-30132 Idaho

Profile Details

NPI number 1841470887
LBN Legal business name Central Mountains Counseling, Pllc
DBA Doing business as
Authorized official Wilson, Jacob W. Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2007
Last updated Jan 18th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841470887 NPPES
Idaho Other 8PO33 BLUE CROSS
Idaho Other 40230 BLUE CROSS

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