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

Lake City Counseling Center LLC

Organization Clinical Social Worker · NPI 1720513963

Lake City Counseling Center LLC is a Clinical Social Worker in Hayden, Idaho. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9705 N Shaw St
Hayden, ID 83835-9716
Phone: (208) 625-9981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 118 N 7th St Ste C2, Coeur D Alene, ID 83814-2763 — (208) 819-2716

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1720513963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Tuttle — Owner · (208) 819-2716
NPI enumeratedApril 25, 2017
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020
Mailing address9705 N Shaw St, Hayden, ID 83835-9716

Other providers in Hayden