Healthy Place Counseling Pocatello Llc

LBN: Healthy Place Counseling Pocatello Llc
Healthy Place Counseling Pocatello Llc is an health care organization with primary practice located at 1023 Yellowstone Ave Ste. J, Pocatello ID 83201-4478. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Healthy Place Counseling Pocatello Llc can be contacted via phone (208) 233-1276, or through Korenke, Kirk via phone (208) 200-4818.

Contact Information

Primary practice address
1023 Yellowstone Ave Ste. J Pocatello ID 83201-4478
Phone: (208) 233-1276
Fax: (208) 233-0835
Website:
Map and Directions
Authorized official contact:
Name: Korenke, Kirk
Phone: (208) 200-4818

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1154464394
LBN Legal business name Healthy Place Counseling Pocatello Llc
DBA Doing business as
Authorized official Korenke, Kirk
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Feb 26th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154464394 NPPES
Idaho MEDICAID 807364700

Popular Providers