MEDICARE: 222 ENTERPRISES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1609739234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	222 ENTERPRISES

Provider Business Mailing Address
First Line	:	1208 E PENNSYLVANIA AVE
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83814-4343
Country	:	US
Telephone Number	:	888-208-0559
Fax Number	:

Provider Business Practice Location Address
First Line	:	693 W CANFIELD AVE
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83815-5239
Country	:	US
Telephone Number	:	888-208-0559
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR/COACH
Name	:	KATHRYN MCMURRAY
Credential	:	BCMHC/COUNSELOR
Telephone Number	:	888-208-0559

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “222 ENTERPRISES ” Practice Location

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