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PETTINGILL COUNSELING SERVICES PC NPI 1811019904


NPI Information

NPI: 1811019904
Provider Name: PETTINGILL COUNSELING SERVICES, PC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
2267 TETON PLZ
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 542-9919
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PETTINGILL COUNSELING SERVICES, PC is a counselor in Idaho 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. PETTINGILL COUNSELING SERVICES, PC NPI is 1811019904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2267 TETON PLZ
IDAHO FALLS, ID
ZIP 83404-486
Phone: (208) 542-9919
Fax: (208) 542-6272

The provider's authorized official is Tamara K. Pettingill .
The authorized official title is Owner and has the following contact phone number (208) 542-9919.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 8/22/2020.


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
1101Y00000XCounselorLCSW-24477IDAHOYes

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: 5/5/2024

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