Organization
EMMETT COUNSELING AND PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY WALL (MEMBER/OFFICE MANAGER)
(208) 365-5445
Entity
Organization
Contact information
Practice address
2007 E QUAIL RUN RD, SUITE 1, EMMETT, ID 83617-5059
(208) 365-5445
(208) 365-6226
Mailing address
2007 E QUAIL RUN RD STE 1, EMMETT, ID 83617-5059
(208) 365-5445
(208) 365-6226
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
11/18/2010
Last updated
05/07/2026
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