| Riverwood Counseling, Llc | |
|
2003 Kootenai Health Way Ste 310 Coeur D Alene ID 83814-6051 | |
| (208) 765-4795 | |
| (208) 765-2903 |
| Full Name | Riverwood Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2003 Kootenai Health Way, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Patty Bullick (OWNER) |
| Authorized Official Contact | 2087654795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverwood Counseling, Llc Po Box 478 Coeur D Alene ID 83816-0478 Ph: () - | Riverwood Counseling, Llc 2003 Kootenai Health Way Ste 310 Coeur D Alene ID 83814-6051 Ph: (208) 765-4795 |
| NPI Number | 1639192552 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 07/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639192552 | NPI | - | NPPES |
| 807261800 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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