Clearwater Counseling

LBN: Clearwater Counseling
Clearwater Counseling is an health care organization with primary practice located at 318 1/2 E Main St , Grangeville ID 83530-2238. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Clearwater Counseling can be contacted via phone (208) 983-7717, or through Jones, Mark Robert via phone (208) 743-8101.

Contact Information

Primary practice address
318 1/2 E Main St Grangeville ID 83530-2238
Phone: (208) 983-7717
Fax: (208) 983-7787
Website:
Map and Directions
Authorized official contact:
Name: Jones, Mark Robert Licensed Clinical Social Worker (LCSW)
Phone: (208) 743-8101

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X LCPC4218 Idaho
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X LCSW1120 Idaho

Profile Details

NPI number 1134361207
LBN Legal business name Clearwater Counseling
DBA Doing business as
Authorized official Jones, Mark Robert Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 3rd, 2009
Last updated Apr 3rd, 2009 - about 15 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 1134361207 NPPES
Idaho MEDICAID 807373700

Popular Providers