Organization
KINDRED MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA FOFANOFF LCPC (OWNER/CLINICIAN)
(208) 651-2952
Entity
Organization
Contact information
Practice address
1620 NORTHWEST BLVD STE 201, COEUR D ALENE, ID 83814-2488
(208) 651-2952
Mailing address
1620 NORTHWEST BLVD STE 201, COEUR D ALENE, ID 83814-2488
(208) 651-2952
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
02/06/2026
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