Healthcare Provider Details

I. General information

NPI: 1982235982
Provider Name (Legal Business Name): SPIRIT COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2020
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 N IDAHO ST STE 106
POST FALLS ID
83854-9016
US

IV. Provider business mailing address

1224 N IDAHO ST STE 106
POST FALLS ID
83854-9016
US

V. Phone/Fax

Practice location:
  • Phone: 208-967-6895
  • Fax: 208-277-0766
Mailing address:
  • Phone: 208-967-6895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHANNON DENISCE ANDREWS
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 208-967-6895