MENTAL WELLNESS CLINIC OF COEUR D ALENE
NPI 1376763474
Specialist in Coeur D Alene, ID

Q: What is Mental Wellness Clinic Of Coeur D Alene's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 30, 2007

500 N GOVERNMENT WAY, SUITE 100, COEUR D ALENE, ID 83814(208) 676-1003(208) 676-1009 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mental Wellness Clinic Of Coeur D Alene NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENTAL WELLNESS CLINIC OF COEUR D ALENE (NPI 1376763474) is a healthcare organization registered as a specialist in Coeur D Alene, Idaho and active in the NPI registry since April 2007. The organization lists Kelly Lagrou, Owner Program Manager, as its authorized official.

NPPES Registry Identity

NPI1376763474

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMENTAL WELLNESS CLINIC OF COEUR D ALENE

Location Address500 N GOVERNMENT WAY, SUITE 100Coeur D Alene, ID 83814-2913

Mailing Address500 N Government Way, Suite 100Coeur D Alene, ID 83814-2913 · (208) 676-1003 · Fax (208) 676-1009

Phone(208) 676-1003

Fax(208) 676-1009

Organization SubpartNo

Authorized OfficialKelly LagrouOwner Program Manager · (208) 676-1003

Enumeration DateApril 30, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376763474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

500 N GOVERNMENT WAY, Coeur D Alene, ID 83814

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLIE MARIE WORLEY

Counselor

500 N GOVERNMENT WAY
COEUR D ALENE, ID 83814

Kootenai County (208) 273-9147

MENTAL WELLNESS CLINIC OF COEUR D ALENE

Specialist

500 N GOVERNMENT WAY, SUITE 100
COEUR D ALENE, ID 83814

Kootenai County (208) 676-1003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mental Wellness Clinic Of Coeur D Alene's NPI number?

The NPI number for Mental Wellness Clinic Of Coeur D Alene is 1376763474. It was assigned to this organization in the NPPES registry on April 30, 2007.

Where is Mental Wellness Clinic Of Coeur D Alene located?

Mental Wellness Clinic Of Coeur D Alene is located at 500 N Government Way Suite 100, Coeur D Alene, ID 83814. The listed phone number is (208) 676-1003.

What is Mental Wellness Clinic Of Coeur D Alene's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mental Wellness Clinic Of Coeur D Alene was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.