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

Mental Wellness Clinic of Coeur D Alene

Organization Specialist · NPI 1376763474

Mental Wellness Clinic of Coeur D Alene is a Specialist in Coeur D Alene, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

500 N Government Way Ste 100
Coeur D Alene, ID 83814-2913
Phone: (208) 676-1003
Fax: (208) 676-1009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1376763474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Lagrou — Owner Program Manager · (208) 676-1003
NPI enumeratedApril 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address500 N Government Way, Suite 100, Coeur D Alene, ID 83814-2913

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