| Safe Harbor Counseling Center Llc | |
|
206 W Ironwood Dr # 1012 Coeur D Alene ID 83814-2640 | |
| (757) 645-7722 | |
| (757) 645-2808 |
| Full Name | Safe Harbor Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 206 W Ironwood Dr # 1012, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Lisa Marie Frazier (OWNER/MANAGER) |
| Authorized Official Contact | 7576457722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Counseling Center Llc 206 W Ironwood Dr # 1012 Coeur D Alene ID 83814-2640 Ph: (757) 645-7722 | Safe Harbor Counseling Center Llc 206 W Ironwood Dr # 1012 Coeur D Alene ID 83814-2640 Ph: (757) 645-7722 |
| NPI Number | 1104278142 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 6305288242 |
|---|---|
| Medicare Enrollment ID | O20240523003136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104278142 | NPI | - | NPPES |
| Provider Name | Lisa Marie Frazier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255751590 PECOS PAC ID: 7113369059 Enrollment ID: I20240523003209 |
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