Provider Demographics
NPI:1982235982
Name:SPIRIT COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:SPIRIT COUNSELING SERVICES PLLC
Other - Org Name:SPIRIT COUNSELING SERVICES PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:DENISCE
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-967-6895
Mailing Address - Street 1:PO BOX 1575
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83877-1575
Mailing Address - Country:US
Mailing Address - Phone:208-967-6895
Mailing Address - Fax:
Practice Address - Street 1:9494 N GOVERNMENT WAY STE 103
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835-9848
Practice Address - Country:US
Practice Address - Phone:208-967-6895
Practice Address - Fax:208-277-0766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty