NPI 1619195344

Mental Wellness Clinic of Coeur D Alene

Organisation Specialist Coeur D Alene, ID

Practice location

Address: 500 N Government Way Suite 100, Coeur D Alene, ID 83814-2913
Phone: (208) 676-1003
Fax: (208) 676-1009

Authorised official

Name: Kelly P Lagrou
Title: Owner Program Manager
Phone: (208) 676-1003

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1619195344
Entity type: Organization
NPI issued: 20 Apr 2007
Record last updated: 11 Sep 2025

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.