North Fork Counseling Services, Llc

LBN: North Fork Counseling Services, Llc
North Fork Counseling Services, Llc is an health care organization with primary practice located at 2691 S 2000 W , Rexburg ID 83440-4049. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. North Fork Counseling Services, Llc can be contacted via phone (208) 701-9616, or through Burnham, Jon via phone (208) 201-1300.

Contact Information

Primary practice address
2691 S 2000 W Rexburg ID 83440-4049
Phone: (208) 701-9616
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burnham, Jon Licensed Clinical Social Worker (LCSW)
Phone: (208) 201-1300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1730873811
LBN Legal business name North Fork Counseling Services, Llc
DBA Doing business as
Authorized official Burnham, Jon Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2023
Last updated Jun 2nd, 2023 - about 2 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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