Provider Demographics
NPI:1841417565
Name:CENTER COUNSELING PSR
Entity Type:Organization
Organization Name:CENTER COUNSELING PSR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LEEANN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TURPIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:208-237-3612
Mailing Address - Street 1:4460 KINGS WAY STE 2
Mailing Address - Street 2:
Mailing Address - City:CHUBBUCK
Mailing Address - State:ID
Mailing Address - Zip Code:83202-1900
Mailing Address - Country:US
Mailing Address - Phone:208-237-3612
Mailing Address - Fax:208-237-5192
Practice Address - Street 1:4460 KINGS WAY STE 2
Practice Address - Street 2:
Practice Address - City:CHUBBUCK
Practice Address - State:ID
Practice Address - Zip Code:83202-1900
Practice Address - Country:US
Practice Address - Phone:208-237-3612
Practice Address - Fax:208-237-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health