Sandpoint Psychotherapy Llc

LBN: Sandpoint Psychotherapy Llc
Sandpoint Psychotherapy Llc is an health care organization with primary practice located at 506 N 4Th Ave , Sandpoint ID 83864-1513. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Sandpoint Psychotherapy Llc can be contacted via phone (208) 263-5393, or through Gurely, Eleanor Rand via phone (208) 263-5393.

Contact Information

Primary practice address
506 N 4Th Ave Sandpoint ID 83864-1513
Phone: (208) 263-5393
Fax: (208) 265-2301
Website:
Map and Directions
Authorized official contact:
Name: Gurely, Eleanor Rand LCSW,DAPA
Phone: (208) 263-5393

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW-1358 Idaho

Profile Details

NPI number 1427179746
LBN Legal business name Sandpoint Psychotherapy Llc
DBA Doing business as
Authorized official Gurely, Eleanor Rand LCSW,DAPA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated May 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427179746 NPPES
Idaho MEDICAID 806654400

Popular Providers