Provider Demographics
NPI:1861225856
Name:OUTLOOK COUNSELING PLLC
Entity type:Organization
Organization Name:OUTLOOK COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LEANN
Authorized Official - Middle Name:W
Authorized Official - Last Name:VATERLAUS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:208-391-5941
Mailing Address - Street 1:6126 W STATE ST # 304
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83703-2741
Mailing Address - Country:US
Mailing Address - Phone:208-391-5941
Mailing Address - Fax:208-593-4807
Practice Address - Street 1:6126 W STATE ST # 304
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83703-2741
Practice Address - Country:US
Practice Address - Phone:208-391-5941
Practice Address - Fax:208-593-4807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty