Provider Demographics
NPI:1194362517
Name:ADVANCED COUNSELING LLC
Entity Type:Organization
Organization Name:ADVANCED COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:LIMB
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LMFT
Authorized Official - Phone:208-887-6283
Mailing Address - Street 1:1426 N CAROL ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-1844
Mailing Address - Country:US
Mailing Address - Phone:208-887-6283
Mailing Address - Fax:208-297-6038
Practice Address - Street 1:39 W PINE AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-2281
Practice Address - Country:US
Practice Address - Phone:208-887-6283
Practice Address - Fax:208-297-6038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty