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VCC INC NPI 1689895625


NPI Information

NPI: 1689895625
Provider Name: VCC INC

Doing Business As: VALLEY COMMUNITY COUNSELING

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1092 EASTLAND DR N STE C
TWIN FALLS, ID
ZIP 83301
Phone: (208) 736-0695
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VCC INC is a counselor in Twin Falls, ID. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. VCC INC NPI is 1689895625. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Community Counseling.

The provider's business location address is:

1092 EASTLAND DR N STE C
TWIN FALLS, ID
ZIP 83301-442
Phone: (208) 736-0695
Fax: (208) 735-2482

The provider's authorized official is Carla Dejong .
The authorized official title is Owner and has the following contact phone number (208) 736-0695.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 2/7/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
2104100000XSocial WorkerNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QM0850XClinic/CenterAdult Mental HealthNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1807394700OTHERIDAHOCLINICAL
2807394700MEDICAIDIDAHO
3805272700MEDICAIDIDAHO
4805277500MEDICAIDIDAHO
5805277500OTHERIDAHOPSR

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

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