Abundant Wellnes Center
Organization Active NPI Community/Behavioral Health Agency · Post Falls, ID
NPI 1093036600 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1093036600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- LCSW28967 (MT)
- Legal business name
- ABUNDANT WELLNES CENTER
- Practice address
- 1125 E Polston Ave
Suite a
Post Falls, ID 83854-6045 - Phone
- (208) 457-1540
- Fax
- (208) 457-1202
- NPI assigned
- Jun 17, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tamera Leann Kinghorn, LCSW
- Title
- Therapist
- Phone
- (406) 560-8100
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LCSW28967 | MT | Yes |
Addresses
Primary practice location
1125 E Polston Ave
Suite a
Post Falls, ID 83854-6045
Mailing address
1125 E Polston Ave
Suite a
Post Falls, ID 83854-6045
Phone (208) 457-1540
Other providers in Post Falls, ID
- A Way Through Counseling Center
- A Way Through Counseling Center Inc
- Aaging Better in-Home Care, LLC
- Abundant Wellness Center
- Access Employment NW LLC
- Janelle E Acheson
- Jacklyn Ackerman
- Acrs, Inc
All providers in Post Falls, ID · Community/Behavioral Health Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.