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Sequel Alliance Family Services, Llc
Psychiatric/Mental Health Nurse Practitioner in Coeur D Alene, Idaho
NPI 1053734251

Sequel Alliance Family Services, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Huntsville, ID and is specialized in Psychiatric/Mental Health. Sequel Alliance Family Services, Llc practices in Coeur D Alene, ID. The NPI Number for Sequel Alliance Family Services, Llc is 1053734251 and holds a License No. (Idaho).

The current practice location address for Sequel Alliance Family Services, Llc is 1200 W Ironwood Dr Ste 101, Coeur D Alene, ID and can be reached out via phone at 208-664-9729 and via fax at 208-665-5735.

Location: 1200 W Ironwood Dr Ste 101, Coeur D Alene, ID, 35801-6478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053734251
Provider Name
Sequel Alliance Family Services, Llc
Credential
Provider Entity Type
Organization
Address
1200 W Ironwood Dr Ste 101, Coeur D Alene, ID, 35801-6478
Phone Number
208-664-9729
Fax Number
208-665-5735
Provider Enumeration Date
01/24/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1200 W Ironwood Dr Ste 101
City
Coeur D Alene
State
Idaho
Zip
83814-2660
Phone Number
208-664-9729
Fax Number
208-665-5735
person
Provider Business Mailing Address Details
Address
1200 W Ironwood Dr Ste 101
City
Coeur D Alene
State
Idaho
Zip
83814-2660
Phone Number
208-664-9729
Fax Number
208-665-5735
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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