Beachside Counseling LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Coeur D Alene, ID
NPI 1104599331 · NPPES record last updated Oct 14, 2022
Key facts
- NPI
- 1104599331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- BEACHSIDE COUNSELING LLC
- Practice address
- 1250 W Ironwood Dr Ste 330
Coeur D Alene, ID 83814-2682 - Phone
- (208) 964-4523
- NPI assigned
- Jul 24, 2021
- Organization subpart
- No
Authorized official
- Name
- Rebecca Bradley, LCPC, LMHCA, LAMFT
- Title
- Licensed Professional Counselor
- Phone
- (208) 274-3020
Practitioners 1
-
Rebecca R Bradley, LCPC, LMFT,LMHC, NCC
National Provider Directory
Locations
1250 W Ironwood Dr
Ste 330
Coeur D Alene, ID 83814
Phone (208) 215-2202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
1250 W Ironwood Dr Ste 330
Coeur D Alene, ID 83814-2682
Mailing address
1250 W Ironwood Dr Ste 330
Coeur D Alene, ID 83814-2682
Phone (208) 274-3020
Other providers in Coeur D Alene, ID
- Brenen James Baumgartner
- Michelle L Baxter
- Tyler Mitchell Baxter
- Be Well Therapy Group of Idaho PLLC
- Erika Jean Beachler
- Beacon Cancer Care PLLC
- Beacon Cancer Care PLLC
- Matthew C. Bean
- Robin Marie Beard
- Britta Beasley
All providers in Coeur D Alene, 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 14, 2022. 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.