Organization Name: | SHAWN BRILEY COUNSELING LLC |
NPI Number: | 1609027192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY NEY (BILLING MANAGER) |
Mailing Address: | 321 N 3rd St Mccall |
State: | ID US |
Postal Code: | 836384439 |
Phone Number: | 2086342979 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2008 |
NPI Last Update Date: | 10/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW-28826 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |