Stillpoint Llc | |
2448 N Merrit Creek Loop Coeur D Alene ID 83814-4953 | |
(208) 661-2400 | |
Not Available |
Full Name | Stillpoint Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2448 N Merrit Creek Loop, Coeur D Alene, Idaho |
Authorized Official Name and Position | Barbara Mace-tucker (PARTNER) |
Authorized Official Contact | 2086612400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stillpoint Llc Po Box 3372 Coeur D Alene ID 83816-2527 Ph: (208) 661-2400 | Stillpoint Llc 2448 N Merrit Creek Loop Coeur D Alene ID 83814-4953 Ph: (208) 661-2400 |
NPI Number | 1942351150 |
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Provider Enumeration Date | 01/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942351150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCSW1078 (Idaho) | Primary |
101YM0800X | Counselor - Mental Health | LCSW25136 (Idaho) | Secondary |
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Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2195 Ironwood Ct, Coeur D Alene, ID 83814 Phone: 208-769-1406 Fax: 208-769-1430 | |
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