| Restart Counseling Pllc | |
|
1625 N 4th St Ste 102c Coeur D Alene ID 83814-6178 | |
| (208) 930-4383 | |
| Not Available |
| Full Name | Restart Counseling Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1625 N 4th St Ste 102c, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Angela Holland (OWNER/PROVIDER) |
| Authorized Official Contact | 2089304383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restart Counseling Pllc 1625 N 4th St Ste 102c Coeur D Alene ID 83814-6178 Ph: () - | Restart Counseling Pllc 1625 N 4th St Ste 102c Coeur D Alene ID 83814-6178 Ph: (208) 930-4383 |
| NPI Number | 1700394715 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 01/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700394715 | NPI | - | NPPES |
| 1558476150 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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