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Contact Information

WHITETAIL TREATMENT AND COUNSELING LLC
925 N MAIN ST STE D
MERIDIAN, ID83642-2301
 Phone: 208-907-5322
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Management

251B00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for WHITETAIL TREATMENT AND COUNSELING LLC

NPI Number 1528704350
LBN Legal business name WHITETAIL TREATMENT AND COUNSELING LLC
Authorized official WENDY PEREZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2022
Last updated 05/05/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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