Organization
SOS FOR FAMILIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY KELL HENSON LCSW (OWNER/THERAPIST)
(208) 640-4339
Entity
Organization
Contact information
Practice address
1810 E SCHNEIDMILLER AVE STE 141, POST FALLS, ID 83854-7989
(208) 981-0515
(208) 981-0514
Mailing address
536 S KELLY RD, COEUR D ALENE, ID 83814-7194
(208) 640-4339
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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