Tw Creative Therapy, Llc

LBN: Tw Creative Therapy, Llc
Tw Creative Therapy, Llc is an health care organization with primary practice located at 1121 E Mullan Ave Ste 210 , Coeur D Alene ID 83814-4054. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Tw Creative Therapy, Llc can be contacted via phone (208) 930-4003, or through Wenig, Tanya C via phone (208) 930-4003.

Contact Information

Primary practice address
1121 E Mullan Ave Ste 210 Coeur D Alene ID 83814-4054
Phone: (208) 930-4003
Fax: (208) 930-4043
Website:
Map and Directions
Authorized official contact:
Name: Wenig, Tanya C LCPC
Phone: (208) 930-4003

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1710545413
LBN Legal business name Tw Creative Therapy, Llc
DBA Doing business as
Authorized official Wenig, Tanya C LCPC
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2019
Last updated May 29th, 2019 - about 6 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 1710545413 NPPES
Idaho MEDICAID 000588275003

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