Organization
STILLPOINT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA MACE-TUCKER (PARTNER)
(208) 661-2400
Entity
Organization
Contact information
Practice address
2448 N MERRIT CREEK LOOP, COEUR D ALENE, ID 83814-4953
(208) 661-2400
Mailing address
PO BOX 3372, COEUR D ALENE, ID 83816-2527
(208) 661-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW1078
ID
101YM0800X
Mental Health Counselor
LCSW25136
ID
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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