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NPI 1982235982

NPI 1982235982 : SPIRIT COUNSELING SERVICES PLLC : POST FALLS, ID

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General NPI Number Information
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    NPI Number           |    1982235982
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPIRIT COUNSELING SERVICES PLLC 
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Dates
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    Enumeration Date     |    01/28/2020
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    1224 N IDAHO ST STE 106 
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    City                 |    POST FALLS
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    State                |    ID
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    Zip                  |    83854-9016
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    Country              |    US
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    Telephone            |    208-967-6895
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    Fax                  |    208-277-0766
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Provider Business Mailing Address
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    Address Line         |    1224 N IDAHO ST STE 106 
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    City                 |    POST FALLS
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    State                |    ID
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    Zip                  |    83854-9016
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    Country              |    US
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    Telephone            |    208-967-6895
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL SOCIAL WORKER
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    Name                 |     SHANNON DENISCE ANDREWS 
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    Credential           |    LCSW
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    Telephone            |    208-967-6895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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