Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle Crest Life Services Inc

Organization Psychiatry Physician · NPI 1356500649

Eagle Crest Life Services Inc is a Psychiatry Physician in Coeur D Alene, Idaho. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 S 11th St Ste 3
Coeur D Alene, ID 83814-4000
Phone: (208) 666-9162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1356500649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Wheeler — Owner · (208) 666-9162
NPI enumeratedJune 3, 2008
Last updated in NPPESFebruary 20, 2009
Mailing addressPo Box 3723, Coeur D Alene, ID 83816-2529

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