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Contact Information

MINDFUL RECOVERY SERVICES PLLC
2201 N GOVERNMENT WAY STE K
COEUR D'ALENE, ID83814-3658
 Phone: 208-819-6122
 Fax: 866-606-2375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Adult Mental Health

261QM0850X
 

Community/Behavioral Health

251S00000X
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for MINDFUL RECOVERY SERVICES PLLC

NPI Number 1811871940
LBN Legal business name MINDFUL RECOVERY SERVICES PLLC
Authorized official DEBORAH CARDER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2025
Last updated 05/04/2026 - About a month 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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