| Rathdrum Counseling Center Llc | |
|
15636 N Highway 41 Rathdrum ID 83858-8710 | |
| (208) 687-0538 | |
| (208) 687-3185 |
| Full Name | Rathdrum Counseling Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15636 N Highway 41, Rathdrum, Idaho |
| Authorized Official Name and Position | Lynn Marie Russell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2086870538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rathdrum Counseling Center Llc 15636 N Highway 41 Rathdrum ID 83858-8710 Ph: (208) 687-0538 | Rathdrum Counseling Center Llc 15636 N Highway 41 Rathdrum ID 83858-8710 Ph: (208) 687-0538 |
| NPI Number | 1437270097 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437270097 | NPI | - | NPPES |
| 8076548 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Rathdrum Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14954 N Coeur Dalene St, Rathdrum, ID 83858 Phone: 208-687-0538 Fax: 208-687-3185 | |
Trailhead Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20889 N Lonesome Ln, Rathdrum, ID 83858 Phone: 208-818-3527 | |
Intentional Mental Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7438 W Meadow Lark Ln, Rathdrum, ID 83858 Phone: 509-953-1866 | |
Valiant Mental Health Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6248 W Airhorn Ave, Rathdrum, ID 83858 Phone: 208-444-9820 | |
Lighthouse Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12849 N Farley Way, Rathdrum, ID 83858 Phone: 208-505-8155 Fax: 208-416-6663 | |
The Neutral Agency, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14777 W Highway 53, Rathdrum, ID 83858 Phone: 208-755-1343 |