Provider Demographics
NPI:1760471262
Name:A WAY THROUGH COUNSELING CENTER INC
Entity type:Organization
Organization Name:A WAY THROUGH COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:208-777-8500
Mailing Address - Street 1:306 N SPOKANE ST
Mailing Address - Street 2:SUITE I
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-7016
Mailing Address - Country:US
Mailing Address - Phone:208-777-8500
Mailing Address - Fax:208-777-8721
Practice Address - Street 1:306 N SPOKANE ST
Practice Address - Street 2:SUITE I
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-7016
Practice Address - Country:US
Practice Address - Phone:208-777-8500
Practice Address - Fax:208-777-8721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty