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EMMETT COUNSELING AND PSYCHIATRIC SERVICES LLC NPI 1972805224


NPI Information

NPI: 1972805224
Provider Name: EMMETT COUNSELING AND PSYCHIATRIC SERVICES, LLC

Doing Business As: PAYETTE COUNSELING AND PSYCHIATRIC SERVICES

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 13D2203285

Address:
501 N 16TH ST
110
PAYETTE, ID
ZIP 83661
Phone: (208) 642-2600
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EMMETT COUNSELING AND PSYCHIATRIC SERVICES, LLC is an adolescent and children mental health clinic center in Payette, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. EMMETT COUNSELING AND PSYCHIATRIC SERVICES, LLC NPI is 1972805224. The provider is registered as an organization entity type.
The provider Is Doing Business As Payette Counseling And Psychiatric Services.

The provider's business location address is:

501 N 16TH ST
110
PAYETTE, ID
ZIP 83661-781
Phone: (208) 642-2600
Fax: (208) 642-6164

The provider's authorized official is Michael Stewart Lee .
The authorized official title is Owner and has the following contact phone number (208) 365-5445.

The CLIA number assigned to this NPI record is 13D2203285 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2010 and was last updated on 11/18/2010.


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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.