Pettingill Counseling Services, Professional Corporation in Idaho Falls - Mental Health

Pettingill Counseling Services, Professional Corporation - NPI 1891919890

Pettingill Counseling Services, Professional Corporation is a Mental Health in Idaho Falls, Idaho. Pettingill Counseling Services, Professional Corporation practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Pettingill Counseling Services, Professional Corporation is 1891919890. The last update date is 2023-01-04.

Pettingill Counseling Services, Professional Corporation's current location address is 1302 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085429919 and fax number 2085426272. The mailing address for Pettingill Counseling Services, Professional Corporation is 1302 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pettingill Counseling Services, Professional Corporation
Address 1302 E 17th St, Idaho Falls, Idaho
Phone Number 2085429919
Fax Number 2085426272
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Pettingill K. Tamara
Credentials LCSW
Telephone Number 2085429919

NPI Number Detail

NPI Number 1891919890
Provider Enumeration Date 2007-04-12
Last Updated Date 2023-01-04

Provider Mailing Address Detail

Address 1302 E 17th St
City Idaho Falls
State Idaho (ID)
Post Code 834046270
Phone Number 2085429919
Fax Number 2085426272

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
806803500 ID --

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FAQs about Pettingill Counseling Services, Professional Corporation

What is the unique identifier code issued to Pettingill Counseling Services, Professional Corporation by the Centers for Medicare & Medicaid Services (CMS)?

The Pettingill Counseling Services, Professional Corporation has been assigned the NPI (National Provider Identifier) 1891919890. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Pettingill Counseling Services, Professional Corporation's facilities are geographically located?

The facilities of Pettingill Counseling Services, Professional Corporation are physically situated at the following location: 1302 E 17Th St, Idaho Falls, ID, 834046270.

What is Pettingill Counseling Services, Professional Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Pettingill Counseling Services, Professional Corporation is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.

When did the Pettingill Counseling Services, Professional Corporation receive its 1891919890?

The Pettingill Counseling Services, Professional Corporation was issued its 1891919890 on 2007-04-12, which is the date when the organization was assigned this unique identifier.

When was the information regarding Pettingill Counseling Services, Professional Corporation most recently updated?

The details pertaining to the Pettingill Counseling Services, Professional Corporation, including its address, specialty, and other relevant information, were last refreshed on 2023-01-04.

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