Provider Demographics
NPI:1417079013
Name:A CENTER FOR COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:A CENTER FOR COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT,LCPC
Authorized Official - Phone:208-265-2271
Mailing Address - Street 1:105 PINE ST
Mailing Address - Street 2:SUITE #108
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1369
Mailing Address - Country:US
Mailing Address - Phone:208-265-2271
Mailing Address - Fax:208-255-2503
Practice Address - Street 1:105 PINE ST
Practice Address - Street 2:SUITE #108
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1369
Practice Address - Country:US
Practice Address - Phone:208-265-2271
Practice Address - Fax:208-255-2503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC#2811,LMFT#2734101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty