Healthcare Provider Details

I. General information

NPI: 1659494623
Provider Name (Legal Business Name): RYAN HOSEID MA, LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 W IRONWOOD DR STE 101
COEUR D ALENE ID
83814-2660
US

IV. Provider business mailing address

1311 W NEBRASKA AVE
SPOKANE WA
99205-6759
US

V. Phone/Fax

Practice location:
  • Phone: 208-664-9729
  • Fax: 208-665-5735
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCPC-3769
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCPC-3769
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: