Organization
SUSAN F. FALCK, MSW, LCSW, PC
Active
Other names
PlayWorks Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FALCK LCSW (OWMER/PRESIDENT/PROVIDER)
(208) 946-9572
Entity
Organization
Contact information
Practice address
7583 MAIN ST, HAWKINS HOUSE HEALING CENTER, BONNERS FERRY, ID 83805-1837
(208) 946-9572
(208) 267-9020
Mailing address
PO BOX 1837, 7583 MAIN ST, BONNERS FERRY, ID 83805-1837
(208) 946-9572
(208) 267-9020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376861138
—
ID
Enumeration date
01/15/2013
Last updated
06/05/2014
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