Pettingill Counseling Services
LBN: Pettingill Counseling Services
Pettingill Counseling Services is an health care organization with primary practice located at 2267 Teton Plz , Idaho Falls ID 83404-6486. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty.
Pettingill Counseling Services can be contacted via phone (208) 542-9919, or through Pettingill, Tamara K. via phone (208) 542-9919.
Contact Information
Primary practice address
2267 Teton Plz
Idaho Falls ID 83404-6486
Phone: (208) 542-9919
Fax: (208) 542-6272
Website:
Authorized official contact:
Name: Pettingill, Tamara K. Licensed Clinical Social Worker (LCSW)
Phone: (208) 542-9919
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LCSW-24477 | Idaho |
Profile Details
| NPI number | 1811913676 |
|---|---|
| LBN Legal business name | Pettingill Counseling Services |
| DBA Doing business as | |
| Authorized official | Pettingill, Tamara K. Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811913676 | NPPES |
| Idaho | MEDICAID | 807357200 | |
| Idaho | MEDICAID | 806803500 | |
| Idaho | MEDICAID | 806864000 |
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