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NPI 1942938303

NPI 1942938303 : PNW FAMILY SERVICES, LLC : COEUR D'ALENE, ID

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General NPI Number Information
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    NPI Number           |    1942938303
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    Entity Type          |    Organization 
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    Legal Business Name  |    PNW FAMILY SERVICES, LLC 
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Dates
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    Enumeration Date     |    08/12/2022
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    Last Update Date     |    10/14/2025
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Provider Practice Location Address
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    Address Line         |    1579 W. RIVERSTONE DRIVE #1100
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    City                 |    COEUR D'ALENE
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    State                |    ID
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    Zip                  |    83814
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    Country              |    US
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    Telephone            |    208-626-8141
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1869 E SELTICE WAY # 513 
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    City                 |    POST FALLS
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    State                |    ID
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    Zip                  |    83854-7019
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    Country              |    US
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    Telephone            |    208-626-8141
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JAMES P MAJOR 
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    Credential           |    
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    Telephone            |    208-626-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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