Emmett Family Services

NPI #1770647612 in Payette, Idaho

Provider Information

NPI Number: 1770647612
Entity Type: Organization
Organization Name: Emmett Family Services
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 21, 2006
Last Updated: Sep 28, 2010

Practice Location

Address: 501 N 16TH ST
Address 2: STE 108 & 110
City: Payette
State: Idaho
ZIP Code: 83661-2781
Phone: (208) 642-2600

Authorized Official

Name: MR. MICHAEL S LEE, LCSW, LMHP
Title: CO-OWNER
Phone: (208) 559-7773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Nurse Practitioner - Family — Family	363LF0000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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