Organization
CLEAR MIND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON DURBIN LPC,LMHC (OWNER/THERAPIST)
(208) 704-1617
Entity
Organization
Contact information
Practice address
1765 W GOLF COURSE RD, COEUR D ALENE, ID 83815-9033
(208) 763-0606
Mailing address
1408 W TUALATIN DR, POST FALLS, ID 83854-5185
(208) 704-1617
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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