Existence Services, LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Inkom, ID
NPI 1003697376 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1003697376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- EXISTENCE SERVICES, LLC
- Practice address
- 217 E Putnam Mountain Loop
Inkom, ID 83245-1767 - Phone
- (208) 223-6211
- NPI assigned
- Oct 11, 2023
- Organization subpart
- No
Authorized official
- Name
- Whitney Harris, LCPC
- Title
- Owner/Clinician
- Phone
- (208) 223-6211
Practitioners 1
-
Whitney W. Harris, LCPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241122000985 | ID | Part B Supplier - Clinic/Group Practice | 9234664681 |
Receives reassigned benefits from 1 practitioner Practice locations: Inkom, ID |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
217 E Putnam Mountain Loop
Inkom, ID 83245-1767
Mailing address
217 E Putnam Mountain Loop
Inkom, ID 83245-1767
Phone (208) 223-6211
Other providers in Inkom, ID
- Andrea Campbell
- Bradley Clark
- Lacey Garfield
- Martin Landon Ladwig
- Terrylynn Leissring
- Darlene M Stephenson
- Thrive Psychology PLLC
All providers in Inkom, ID · Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.