Organization
WATERSHED WELLNESS, LLC
Active
Other names
WATERSHED WELLNESS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BARTH LCPC (OWNER)
(208) 304-1102
Entity
Organization
Contact information
Practice address
120 E LAKE ST STE 205, SANDPOINT, ID 83864-1366
(208) 304-1102
Mailing address
417 S LAVINA AVE, SANDPOINT, ID 83864-1144
(208) 304-1102
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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