Provider Demographics
NPI:1245009935
Name:SAWTOOTH COUNSELING LLC
Entity type:Organization
Organization Name:SAWTOOTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATONIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKENHORST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:208-999-7422
Mailing Address - Street 1:7613 E BRATTON DR
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-5491
Mailing Address - Country:US
Mailing Address - Phone:208-999-7422
Mailing Address - Fax:
Practice Address - Street 1:16150 N HIGH DESERT ST STE 213
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-5742
Practice Address - Country:US
Practice Address - Phone:208-999-7422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health