City Creek Counseling, Llc

LBN: City Creek Counseling, Llc
City Creek Counseling, Llc is an health care organization with primary practice located at 1219 Yellowstone Ave Ste D , Pocatello ID 83201-4368. 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. City Creek Counseling, Llc can be contacted via phone (208) 339-0909, or through Peterson, Tandice Chaelee via phone (208) 339-0909.

Contact Information

Primary practice address
1219 Yellowstone Ave Ste D Pocatello ID 83201-4368
Phone: (208) 339-0909
Fax: (208) 339-0909
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Tandice Chaelee LCPC
Phone: (208) 339-0909

Health care specialties

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

Profile Details

NPI number 1649756057
LBN Legal business name City Creek Counseling, Llc
DBA Doing business as
Authorized official Peterson, Tandice Chaelee LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2018
Last updated Jul 18th, 2018 - about 6 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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