Central Mountains Counseling, Pllc in Mccall - Community/behavioral Health

Central Mountains Counseling, Pllc - NPI 1841470887

Central Mountains Counseling, Pllc is a Community/behavioral Health in Mccall, Idaho. Central Mountains Counseling, Pllc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Central Mountains Counseling, Pllc is 1841470887. The last update date is 2016-01-18.

Central Mountains Counseling, Pllc's current location address is Po Box 2553, Mccall, Idaho. You can contact this provider via phone number 2086304040 and fax number 2086344055. The mailing address for Central Mountains Counseling, Pllc is Po Box 2553, Mccall, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Mountains Counseling, Pllc
Address Po Box 2553, Mccall, Idaho
Phone Number 2086304040
Fax Number 2086344055
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/CLIN
Authorized Official Name Wilson W. Jacob
Credentials LCSW
Telephone Number 2086304040

NPI Number Detail

NPI Number 1841470887
Provider Enumeration Date 2007-11-07
Last Updated Date 2016-01-18

Provider Mailing Address Detail

Address Po Box 2553
City Mccall
State Idaho (ID)
Post Code 836382553
Phone Number 2086304040
Fax Number 2086344055

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Licence No LCSW-30132
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8PO33 ID BLUE CROSS
40230 ID REGENCE BLUE SHIELD

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FAQs about Central Mountains Counseling, Pllc

What is the unique identifier code issued to Central Mountains Counseling, Pllc by the Centers for Medicare & Medicaid Services?

The Central Mountains Counseling, Pllc has been assigned the NPI (National Provider Identifier) 1841470887. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Central Mountains Counseling, Pllc is located?

The Central Mountains Counseling, Pllc is situated at the following address: Po Box 2553, Mccall, ID, 836382553.

What is Central Mountains Counseling, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Central Mountains Counseling, Pllc is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1841470887 to Central Mountains Counseling, Pllc?

The Central Mountains Counseling, Pllc received its 1841470887 assignment from the Centers for Medicare & Medicaid Services on 2007-11-07.

When was the information pertaining to Central Mountains Counseling, Pllc most recently updated or revised?

The details related to Central Mountains Counseling, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2016-01-18.

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