| Mental Wellness And Relationship Services | |
|
1110 W Park Pl Ste 303 Coeur D Alene ID 83814-2784 | |
| (208) 283-8440 | |
| (208) 473-7271 |
| Full Name | Mental Wellness And Relationship Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1110 W Park Pl Ste 303, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Violet F Rudd (CO-OWNER) |
| Authorized Official Contact | 2082838440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness And Relationship Services 1110 W Park Pl Ste 303 Coeur D Alene ID 83814-2784 Ph: (208) 283-8440 | Mental Wellness And Relationship Services 1110 W Park Pl Ste 303 Coeur D Alene ID 83814-2784 Ph: (208) 283-8440 |
| NPI Number | 1932773363 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Medicare PECOS PAC ID | 5092106443 |
|---|---|
| Medicare Enrollment ID | O20211220002179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932773363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jared E Bruder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023654548 PECOS PAC ID: 6608201405 Enrollment ID: I20210510000979 |
| Provider Name | Jeanette M Steiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801523279 PECOS PAC ID: 3678957842 Enrollment ID: I20221006000814 |
| Provider Name | Kevin Lee Dayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588808224 PECOS PAC ID: 8325414105 Enrollment ID: I20221118001127 |
| Provider Name | Nate Hooper |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1184858607 PECOS PAC ID: 1658722665 Enrollment ID: I20240103004266 |
| Provider Name | Violet Rudd |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598204190 PECOS PAC ID: 2264823616 Enrollment ID: I20240112004291 |
| Provider Name | Duann Celine Chambers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861166696 PECOS PAC ID: 7416309513 Enrollment ID: I20240113000029 |
Ambitions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814 Phone: 208-930-1740 Fax: 208-930-1695 | |
Restored Paths Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Harrison Ave, Coeur D Alene, ID 83814 Phone: 208-664-8347 | |
Cooksey Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Northwest Blvd Ste 107a, Coeur D Alene, ID 83814 Phone: 208-551-5158 | |
Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2195 Ironwood Ct, Coeur D Alene, ID 83814 Phone: 208-769-1406 Fax: 208-769-1430 | |
North Lakes Family Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 E Lakeside Ave, Coeur D Alene, ID 83814 Phone: 208-664-5941 | |
Mental Wellness Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Government Way Ste 100, Coeur D Alene, ID 83814 Phone: 208-676-1003 Fax: 208-676-1009 | |
Empowered Through Play Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 560 W Canfield Ave, Ste 300, Coeur D Alene, ID 83815 Phone: 208-758-7111 |