Organization
PLENA VITA COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANDREW MCWHORTER LPC (CEO)
(208) 929-1189
Entity
Organization
Contact information
Practice address
4000 N 4TH ST, COEUR D ALENE, ID 83815-5114
(208) 254-1394
Mailing address
4000 N 4TH ST, COEUR D ALENE, ID 83815-5114
(208) 254-1394
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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