| Mountain Lake Counseling And Support Services, Inc. | |
|
804 Airport Way Sandpoint ID 83864-8200 | |
| (208) 597-3553 | |
| Not Available |
| Full Name | Mountain Lake Counseling And Support Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 804 Airport Way, Sandpoint, Idaho |
| Authorized Official Name and Position | M. Mikell Zimmerman (PRESIDENT) |
| Authorized Official Contact | 2085973553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Lake Counseling And Support Services, Inc. 804 Airport Way Sandpoint ID 83864-8200 Ph: (208) 597-3553 | Mountain Lake Counseling And Support Services, Inc. 804 Airport Way Sandpoint ID 83864-8200 Ph: (208) 597-3553 |
| NPI Number | 1336316207 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336316207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-3664 (Idaho) | Secondary |
| 251S00000X | Community/behavioral Health | LPC-3664 (Idaho) | Primary |
Pennyfarthing Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Cedar St, Ste A, Sandpoint, ID 83864 Phone: 208-255-1617 | |
Summit Children's Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Highway 2 Ste 212, Sandpoint, ID 83864 Phone: 208-254-0682 | |
Regenerize Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 S Olive Ave, Sandpoint, ID 83864 Phone: 209-677-7747 | |
Alliance Family Services North, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 S Division Ave, Sandpoint, ID 83864 Phone: 208-265-5049 | |
Brianna Thoreson, Msw, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S Euclid Ave Ste 111, Sandpoint, ID 83864 Phone: 208-263-4477 Fax: 208-263-4478 | |
Sequel Alliance Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 S Division Ave, Sandpoint, ID 83864 Phone: 208-265-8195 Fax: 208-265-8327 | |
Seven Peaks Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Fourth Ave Ste 103, Sandpoint, ID 83864 Phone: 208-920-5600 Fax: 208-298-3837 |