Indigo Waters Counseling Services
LBN: Indigo Waters Counseling Services
Indigo Waters Counseling Services is an health care organization with primary practice located at 13406 Donner Pass Rd , Truckee CA 96161-3822. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Managed Care Organizations / Preferred Provider Organization. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Indigo Waters Counseling Services can be contacted via phone (530) 448-0203, or through Brutzman-Livak, Kirsten via phone (530) 448-0203.
Contact Information
Primary practice address
13406 Donner Pass Rd
Truckee CA 96161-3822
Phone: (530) 448-0203
Fax:
Website:
Authorized official contact:
Name: Brutzman-Livak, Kirsten Licensed Clinical Social Worker (LCSW)
Phone: (530) 448-0203
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 29893 | California |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 29893 | California |
Profile Details
| NPI number | 1013388966 |
|---|---|
| LBN Legal business name | Indigo Waters Counseling Services |
| DBA Doing business as | |
| Authorized official | Brutzman-Livak, Kirsten Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 16th, 2015 |
| Last updated | Oct 16th, 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.
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