Provider Demographics
NPI:1700324308
Name:MAJESKI COUNSELING
Entity Type:Organization
Organization Name:MAJESKI COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJESKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-610-6401
Mailing Address - Street 1:301 N 1ST AVE
Mailing Address - Street 2:202
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1456
Mailing Address - Country:US
Mailing Address - Phone:208-610-6401
Mailing Address - Fax:208-683-8001
Practice Address - Street 1:301 N 1ST AVE
Practice Address - Street 2:202
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1456
Practice Address - Country:US
Practice Address - Phone:208-610-6401
Practice Address - Fax:208-683-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW 26922251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1366581431OtherINDIVIDUAL NPI
ID20007638Medicare PIN