Pettingill Counseling Services, Professional Corporation
LBN: Pettingill Counseling Services, Professional Corporation
Pettingill Counseling Services, Professional Corporation is an health care organization with primary practice located at 1302 E 17Th St , Idaho Falls ID 83404-6270. 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, Professional Corporation can be contacted via phone (208) 542-9919, or through Pettingill, Tamara K. via phone (208) 542-9919.
Contact Information
Primary practice address
1302 E 17Th St
Idaho Falls ID 83404-6270
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 | 1194847285 |
|---|---|
| LBN Legal business name | Pettingill Counseling Services, Professional Corporation |
| DBA Doing business as | |
| Authorized official | Pettingill, Tamara K. Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Dec 19th, 2022 - about 3 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 | 1194847285 | NPPES |
| Idaho | MEDICAID | 806864000 |
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