COMMUNITY OUTREACH COUNSELING LLC NPI 1417158338

NPI Information

NPI: 1417158338
Provider Name: COMMUNITY OUTREACH COUNSELING LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2707 GARRITY BLVD STE 5
NAMPA, ID
ZIP 83687
Phone: (208) 466-7443
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COMMUNITY OUTREACH COUNSELING LLC is a mental health (including community mental health center) clinic center in Nampa, ID. COMMUNITY OUTREACH COUNSELING LLC NPI is 1417158338. The provider is registered as an organization entity type.

The provider's business location address is:

2707 GARRITY BLVD STE 5
NAMPA, ID
ZIP 83687-679
Phone: (208) 466-7443
Fax: (208) 466-5058

The provider's authorized official is Paula S. Marcotte .
The authorized official title is Owner and has the following contact phone number (208) 466-7443.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 6/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	26327	IDAHO	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	26327	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	807404500	MEDICAID	IDAHO
2	807197500	MEDICAID	IDAHO
3	807120900	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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