Watershed Wellness, LLC

NPI #1487334264 in Sandpoint, Idaho

Provider Information

NPI Number: 1487334264
Entity Type: Organization
Organization Name: Watershed Wellness, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 18, 2023
Last Updated: Jul 18, 2023

Practice Location

Address: 120 E LAKE ST STE 205
City: Sandpoint
State: Idaho
ZIP Code: 83864-1366
Phone: (208) 304-1102

Authorized Official

Name: MR. DAVID BARTH, LCPC
Title: OWNER
Phone: (208) 304-1102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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