Lake City Counseling Center

LBN: Lake City Counseling Center
Lake City Counseling Center is an health care organization with primary practice located at 9705 N Shaw St , Hayden ID 83835-9716. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lake City Counseling Center can be contacted via phone (208) 625-9981, or through Tuttle, Jennifer Rian via phone (208) 819-2716.

Contact Information

Primary practice address
9705 N Shaw St Hayden ID 83835-9716
Phone: (208) 625-9981
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tuttle, Jennifer Rian
Phone: (208) 819-2716

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1972143048
LBN Legal business name Lake City Counseling Center
DBA Doing business as
Authorized official Tuttle, Jennifer Rian
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2020
Last updated Jan 7th, 2020 - about 4 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 1972143048 NPPES
Idaho MEDICAID 1720513963

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