RENA L BRADYMIRE LPC NPI 1871930123

NPI Information

  • NPI: 1871930123
  • Provider Name: RENA L BRADYMIRE, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2201 N GOVERNMENT WAY STE K
    COEUR D ALENE, ID
    ZIP 83814
  • Phone: (208) 664-0552

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NPI Details

Rena L Bradymire, LPC is a mental health counselor in Coeur D Alene, ID. Rena L Bradymire, LPC NPI is 1871930123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2201 N GOVERNMENT WAY STE K
COEUR D ALENE, ID
ZIP 83814-658
Phone: (208) 664-0552
Fax: (209) 262-9698

The enumeration date for this NPI number is 5/28/2013 and was last updated on 5/14/2014.

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
1101YM0800XCounselorMental HealthLH60074397WASHINGTONNo
2101YM0800XCounselorMental HealthLPC-3454IDAHOYes

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: 11/21/2025

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