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

Mountain Lake Counseling and Support Services, Inc

Organization Professional Counselor · NPI 1336316207

Mountain Lake Counseling and Support Services, Inc is a Professional Counselor in Sandpoint, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
2
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

804 Airport Way
Sandpoint, ID 83864-8200
Phone: (208) 597-3553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence LPC-3664 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence LPC-3664 (ID)

Record details

NPI number1336316207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official M. Mikell Zimmerman — President · (208) 597-3553
NPI enumeratedMay 9, 2008
Last updated in NPPESMay 9, 2008
Mailing address804 Airport Way, Sandpoint, ID 83864-8200

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