NPI 1467268953
Lc-Advanced Health & Wellness
Practice location
- Address
- 1428 G St, Lewiston, ID 83501-2031
- Phone
- (208) 848-4140
- Fax
- (208) 848-4143
Authorised official
- Name
- Anthony Brian Tenny
- Title
- Owner
- Phone
- (208) 816-0015
Registered specialties (2)
Psychologist
Primary
Adult Mental Health Clinic/Center
Registry record
- NPI
- 1467268953
- Entity type
- Organization
- NPI issued
- 9 Dec 2024
- Record last updated
- 9 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.