Healthcare Provider Details

I. General information

NPI: 1891627352
Provider Name (Legal Business Name): LF3
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3568 W INDUSTRIAL LOOP
COEUR D ALENE ID
83815-6016
US

IV. Provider business mailing address

3568 W INDUSTRIAL LOOP
COEUR D ALENE ID
83815-6016
US

V. Phone/Fax

Practice location:
  • Phone: 208-444-5683
  • Fax: 208-315-6616
Mailing address:
  • Phone: 208-444-5683
  • Fax: 208-315-6616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW RECKINGER-ROWE
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D., CPC, BCMMHC.
Phone: 208-651-2698