Provider Demographics
NPI:1295081818
Name:ALWAYS A CHILD COUNSELING CORNER
Entity type:Organization
Organization Name:ALWAYS A CHILD COUNSELING CORNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOONEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:208-731-6347
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:
Mailing Address - City:KIMBERLY
Mailing Address - State:ID
Mailing Address - Zip Code:83341-0095
Mailing Address - Country:US
Mailing Address - Phone:208-731-6347
Mailing Address - Fax:
Practice Address - Street 1:3619 N 3400 E
Practice Address - Street 2:
Practice Address - City:KIMBERLY
Practice Address - State:ID
Practice Address - Zip Code:83341-5288
Practice Address - Country:US
Practice Address - Phone:208-731-6347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-4925251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health