# CREEKSIDE COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972626182
- **Authorized official:** MS. SUSAN STEVENS LMFT (OWNER)
- **Authorized official phone:** (208) 255-2004

## Contact information

- **Practice address:** 212 N 1ST AVE, SUITE G100, SANDPOINT, ID 83864-1436
- **Practice address phone:** (208) 255-2004
- **Practice address fax:** (208) 255-2017
- **Mailing address:** 212 N 1ST AVE, SUITE G100, SANDPOINT, ID 83864-1436
- **Mailing address phone:** (208) 255-2004
- **Mailing address fax:** (208) 255-2017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LCSW-26084 | ID | — |
| 1041C0700X | Clinical Social Worker | LCSW-335 | ID | — |
| 106H00000X | Marriage & Family Therapist | LMFT-2843 | ID | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 09/11/2025