Organization
LONE PINE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH PATZER LCSW, ACADC (OWNER/THERAPIST)
(208) 274-3430
Entity
Organization
Contact information
Practice address
1030 S 3RD ST, ST MARIES, ID 83861-1958
(208) 274-3430
Mailing address
PO BOX 191, ST MARIES, ID 83861-0191
(208) 274-3430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770950016
INDIVIDUAL NPI
ID
Enumeration date
03/02/2023
Last updated
09/23/2025
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