Organization
PETTINGILL COUNSELING SERVICES, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA K. PETTINGILL LCSW (OWNER)
(208) 542-9919
Entity
Organization
Contact information
Practice address
1302 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-9919
(208) 542-6272
Mailing address
1302 E 17TH ST, IDAHO FALLS, ID 83404-6270
(208) 542-9919
(208) 542-6272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806803500
—
ID
Enumeration date
04/12/2007
Last updated
01/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us