SNAKE RIVER REHABILITATION COUNSELING SERVICES LLC


Address: 1630 23rd Ave Ste 301b, Lewiston, ID 83501-6357
Phone: 2087435101

SNAKE RIVER REHABILITATION COUNSELING SERVICES LLC (NPI# 1972700813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972700813
Entity Type Organization
Organization Name SNAKE RIVER REHABILITATION COUNSELING SERVICES LLC
Practice Address 1630 23rd Ave Ste 301b
Lewiston
ID 83501-6357
Practice Telephone 2087435101
Practice Fax Number 2087465282
Mailing Telephone 2087435101
Mailing Fax Number 2087465282
Enumeration Date 2007-07-02
Last Update Date 2020-08-22
Authorized Official Name VICTORIA LEE CUNNINGHAM (OFFICE MANAGER)
Authorized Official Telephone 2087435101
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568669257 Snake River Rehabilitation Counseling Services LLC Case Management 1630 23rd Ave Ste 301b, Lewiston, ID 83501-6357 2007-06-27
1154528099 Snake River Rehabilitation Counseling Services LLC Case Management 1630 23rd Ave Ste 301b, Lewiston, ID 83501-6357 2007-07-02
1891992731 Snake River Rehabilitation Counseling Services LLC Community/Behavioral Health 1630 23rd Ave Ste 301b, Lewiston, ID 83501-6357 2007-07-02

Office Location

Street Address 1630 23RD AVE STE 301B
City LEWISTON
State ID
Zip Code 83501-6357

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568669257 Snake River Rehabilitation Counseling Services LLC Case Management 1630 23rd Ave Ste 301b, Lewiston, ID 83501-6357 2007-06-27
1063619906 Snakr River Rehabilitation Counseling Services LLC Case Management 1630 23rd Ave Ste 301b, Lewiston, ID 83501-6357 2007-07-02
1154528099 Snake River Rehabilitation Counseling Services LLC Case Management 1630 23rd Ave Ste 301b, Lewiston, ID 83501-6357 2007-07-02
1891992731 Snake River Rehabilitation Counseling Services LLC Community/Behavioral Health 1630 23rd Ave Ste 301b, Lewiston, ID 83501-6357 2007-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679193759 Jacqueline M Aldrich Behavior Technician 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 2020-04-20
1295228054 Provident Foundation - Wedgewood Terrace LLC Alzheimer Center (Dementia Center) 2114 Vineyard Avenue, Lewiston, ID 83501 2018-06-07
1164945325 Xiaofei Liu Massage Therapist 234 Thain Rd, Lewiston, ID 83501 2017-07-19
1467909879 Sharon Thulon Registered Nurse 1118 F Street, Lewiston, ID 83501 2016-09-01
1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609476852 Allied Community Services LLC Community/Behavioral Health 476 Sabattus St, Lewiston, ME 04240-4111 2020-10-27
1124627765 Peace Care Services LLC Community/Behavioral Health 145 Lisbon St Ste 508, Lewiston, ME 04240-7241 2020-10-24
1538779566 Carolyn Elizabeth Barndt Community/Behavioral Health 1302 12th St, Lewiston, ID 83501-2932 2020-08-04
1497371868 Touchstone Support Services LLC Community/Behavioral Health 247 Lisbon St # 2, Lewiston, ME 04240-7704 2020-06-22
1770106916 Rolling Hills Enterprises, Inc. Community/Behavioral Health 124 Canal St Ste 2, Lewiston, ME 04240-7711 2020-05-22
1699328336 Nancy Yombe Community/Behavioral Health 280 Stetson Rd, Lewiston, ME 04240-2430 2019-07-22
1679087175 Minds for Health LLC Community/Behavioral Health 15a Westminister Street, Lewiston, ME 04240-7235 2017-11-21
1235683533 Carpe Diem Behavioral Associates, Inc. Community/Behavioral Health 1525 Lisbon St, Lewiston, ME 04240-3515 2016-08-04
1861850828 Black Bear Support Services, LLC Community/Behavioral Health 571 Sabattus Street, Suite 15, Lewiston, ME 04240 2016-02-05
1952711996 Kuna Counseling Center Community/Behavioral Health 504 Main St Ste 444, Lewiston, ID 83501-1869 2014-04-29
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Competitor

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City LEWISTON
Zip Code 83501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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