NPI 1841307188 · live from the CMS NPI Registry
A Plus Solutions
Marriage & Family Therapist in Burley, ID. National Provider Identifier 1841307188, active.
NPI record
| NPI | 1841307188 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2311 Park Ave, Unit 3 Suite 12, Burley, ID 83318 |
| Practice phone | 208-678-3555 |
| Mailing address | Po Box 969, Burley, ID 83318 |
| Enumerated | August 24, 2006 |
| Last updated | July 28, 2010 |
| Authorized official | Patricia Bedke, Owner/Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | LCPC-3490 (ID) |
| Counselor, Mental Health | 101YM0800X | LCPC-3489 (ID) |
| Counselor, Mental Health | 101YM0800X | LCP-3224 (ID) |
| Social Worker | 104100000X | LMSW-27196 (ID) |
| Social Worker | 104100000X | LMSW-26630 (ID) |
| Marriage & Family Therapist primary | 106H00000X | LMFT-2792 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.