| Beachside Counseling Llc | |
|
1250 W Ironwood Dr Ste 330 Coeur D Alene ID 83814-2682 | |
| (208) 964-4523 | |
| Not Available |
| Full Name | Beachside Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1250 W Ironwood Dr Ste 330, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Rebecca Bradley (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2082743020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachside Counseling Llc 1250 W Ironwood Dr Ste 330 Coeur D Alene ID 83814-2682 Ph: (208) 274-3020 | Beachside Counseling Llc 1250 W Ironwood Dr Ste 330 Coeur D Alene ID 83814-2682 Ph: (208) 964-4523 |
| NPI Number | 1104599331 |
|---|---|
| Provider Enumeration Date | 07/24/2021 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104599331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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