Mountain Lake Counseling And Support Services, Inc.

LBN: Mountain Lake Counseling And Support Services, Inc.
Mountain Lake Counseling And Support Services, Inc. is an health care organization with primary practice located at 804 Airport Way , Sandpoint ID 83864-8200. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Mountain Lake Counseling And Support Services, Inc. can be contacted via phone (208) 597-3553, or through Zimmerman, M. Mikell via phone (208) 597-3553.

Contact Information

Primary practice address
804 Airport Way Sandpoint ID 83864-8200
Phone: (208) 597-3553
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zimmerman, M. Mikell
Phone: (208) 597-3553

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-3664 Idaho
Agencies / Community/Behavioral Health 251S00000X LPC-3664 Idaho

Profile Details

NPI number 1336316207
LBN Legal business name Mountain Lake Counseling And Support Services, Inc.
DBA Doing business as
Authorized official Zimmerman, M. Mikell
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2008
Last updated May 9th, 2008 - about 18 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.

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