| Reliance Counseling Services Llc | |
|
1103 W Ironwood Dr Ste A Coeur D Alene ID 83814-2604 | |
| (208) 889-1355 | |
| (208) 625-2036 |
| Full Name | Reliance Counseling Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1103 W Ironwood Dr Ste A, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Heather L Wilson (OWNER / CLINICIAN) |
| Authorized Official Contact | 2088891355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Counseling Services Llc 1103 W Ironwood Dr Ste A Coeur D Alene ID 83814-2604 Ph: (208) 889-1355 | Reliance Counseling Services Llc 1103 W Ironwood Dr Ste A Coeur D Alene ID 83814-2604 Ph: (208) 889-1355 |
| NPI Number | 1649041757 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 8022457845 |
|---|---|
| Medicare Enrollment ID | O20240412002261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649041757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Heather L Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871828657 PECOS PAC ID: 3577902394 Enrollment ID: I20240412002389 |
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