| Your Family Counseling Center, Llc | |
|
1714 Northshore Dr Sandpoint ID 83864-2715 | |
| (208) 304-5325 | |
| (509) 215-2367 |
| Full Name | Your Family Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1714 Northshore Dr, Sandpoint, Idaho |
| Authorized Official Name and Position | David Michael Mitchell (OFFICE MANAGER) |
| Authorized Official Contact | 2083045325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Counseling Center, Llc 920 Penn Lo Dr Whitsett NC 27377-8772 Ph: (208) 304-5325 | Your Family Counseling Center, Llc 1714 Northshore Dr Sandpoint ID 83864-2715 Ph: (208) 304-5325 |
| NPI Number | 1750901948 |
|---|---|
| Provider Enumeration Date | 04/17/2020 |
| Last Update Date | 04/17/2020 |
| Certification Date | 04/17/2020 |
| Medicare PECOS PAC ID | 3274056544 |
|---|---|
| Medicare Enrollment ID | O20250327000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750901948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Connie Jean Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295230373 PECOS PAC ID: 4183147457 Enrollment ID: I20250327000818 |
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