MEDICARE: 38 PALMS THERAPY PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1649133257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	38 PALMS THERAPY PLLC

Provider Business Mailing Address
First Line	:	2468 W GRENOBLE LN
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83815-0481
Country	:	US
Telephone Number	:	208-215-0504
Fax Number	:

Provider Business Practice Location Address
First Line	:	2468 W GRENOBLE LN
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83815-0481
Country	:	US
Telephone Number	:	208-215-0504
Fax Number	:

Authorized Official
Title or Position	:	CLINICIAN
Name	:	MS. TAMIRA LYNN BARRETT
Credential	:	LCSW
Telephone Number	:	208-215-0504

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

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