Provider Demographics
NPI:1134581150
Name:NEKANE ARRIETA-RESNICK COUNSELING, LLC
Entity type:Organization
Organization Name:NEKANE ARRIETA-RESNICK COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEKANE
Authorized Official - Middle Name:FELISA
Authorized Official - Last Name:ARRIETA-RESNICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:208-724-8666
Mailing Address - Street 1:223 N. 6TH STREET, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702
Mailing Address - Country:US
Mailing Address - Phone:208-724-8666
Mailing Address - Fax:208-908-0058
Practice Address - Street 1:223 N. 6TH STREET, SUITE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702
Practice Address - Country:US
Practice Address - Phone:208-724-8666
Practice Address - Fax:208-908-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-5094251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1366773020OtherINDIVIDUAL IPN