Individual provider · Type 1 NPI

Tiffany Bailly-Renner, LMSW

Community/Behavioral Health Agency · Coeur D Alene, ID

NPI number 1891014320 Active

Practice location

1200 W Ironwood Dr
Coeur D Alene, ID 83814-2660

Call (208) 664-9729 Map

Fax (208) 263-7515

Mailing address

4736 E Deer Rd
Harrison, ID 83833-7894

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X30167 (ID)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1891014320

Tiffany Bailly-Renner, LMSW's National Provider Identifier is 1891014320, issued on May 24, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 24, 2010.