Healthcare Provider Details

I. General information

NPI: 1386568897
Provider Name (Legal Business Name): RICK WESTBY THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 NORTHWEST BLVD STE 203
COEUR D ALENE ID
83814-2413
US

IV. Provider business mailing address

1214 W MILL AVE
COEUR D ALENE ID
83814-2446
US

V. Phone/Fax

Practice location:
  • Phone: 813-446-5419
  • Fax: 208-292-6069
Mailing address:
  • Phone: 813-446-5419
  • Fax: 208-292-6069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FREDERICK THOMAS WESTBY
Title or Position: OWNER/THERAPIST
Credential: LCPC
Phone: 813-446-5419