Healthcare Provider Details
I. General information
NPI: 1609782184
Provider Name (Legal Business Name): RESONANT PATH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2026
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2688 W DUMONT DR
COEUR D ALENE ID
83815-5069
US
IV. Provider business mailing address
2688 W DUMONT DR
COEUR D ALENE ID
83815-5069
US
V. Phone/Fax
- Phone: 208-500-2615
- Fax:
- Phone: 208-500-2615
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRANDON
TRCA
Title or Position: OWNER
Credential: LPC, LAMFT
Phone: 208-500-2615