Family Support Services of North Idaho

Organization Active NPI Mental Health Counselor · Coeur D Alene, ID

NPI 1124124797 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1124124797
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
FAMILY SUPPORT SERVICES OF NORTH IDAHO
Practice address
1115 W Ironwood Dr
Suite C
Coeur D Alene, ID 83814-4936
Phone
(208) 769-4222
Fax
(208) 667-7557
NPI assigned
Sep 14, 2006
Organization subpart
No

Authorized official

Name
Mrs. Jodi Smith, M.ED
Title
Executive Director
Phone
(208) 769-4222

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Family Support Services of North Idaho (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X ID Yes

Addresses

Primary practice location

1115 W Ironwood Dr
Suite C
Coeur D Alene, ID 83814-4936

Mailing address

1115 W Ironwood Dr
Suite C
Coeur D Alene, ID 83814-4936
Phone (208) 769-4222

Other providers in Coeur D Alene, ID

All providers in Coeur D Alene, ID · Mental Health Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.