Organization · Type 2 NPI
Idaho Dept of Health & Welfare Reg 1 Ahm PSR Sandpoint
Mental Health Clinic/Center (Including Community Mental Health Center) · Ponderay, ID
NPI number
1417084716
Active
Practice location
207 Larkspur St
Ponderay, ID 83852-5011
Fax (208) 263-4198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
8 other providers at this address
- Idaho Dept of Health & Welfare Reg 1 Amh Clinic SandpointAdult Mental Health Clinic/Center Ponderay, ID NPI 1467589184
- Anna Louise Lawrence, LCSWClinical Social Worker Ponderay, ID NPI 1003277039
- Carol Young, LMFT, LPCMarriage & Family Therapist Ponderay, ID NPI 1972084937
- Elizabeth Larsen, B.S.Developmental Therapist Ponderay, ID NPI 1265892210
- Jaime CaldwellDevelopmental Therapist Ponderay, ID NPI 1073422275
- Joanna RichterRegistered Nurse Ponderay, ID NPI 1215390158
- Sadie GreenClinical Social Worker Ponderay, ID NPI 1114388105
- Susan Hansen, M.ED.Developmental Therapist Ponderay, ID NPI 1801256227
About NPI 1417084716
Idaho Dept of Health & Welfare Reg 1 Ahm PSR Sandpoint's National Provider Identifier is 1417084716, issued on Feb 27, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Ponderay, ID. The record was last updated on Aug 25, 2016.