P Praxis·MD
● Active Type 2 · Organization

Family Life Counseling Center Llc

Counselor·Eagle, ID· NPI 1154198786 · Enumerated 2023 · 2 years on NPI
Family Life Counseling Center Llc is 1 of 1313 counselor organizations in Idaho.
NPI age
2 years
Enumerated 2023-12-05
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Duty
President
Last NPPES update
2024-01-16
Source: monthly bulk 2026-05

How this organization compares

Across 1313 active counselor providers in Idaho.

NPI age
2 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-12Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
1159 E Iron Eagle Dr Ste 170
Eagle, ID 836166870
📞 2084078014
Mailing address
1159 E Iron Eagle Dr Ste 170
Eagle, ID 836166870
📞 2084078014

Authorized official

Shane Michael Duty, LCPC
President
📞 2084078014

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Family Life Counseling Center
    Type code 3 recorded 2024-01-16
  • Family Life Counseling Center
    Type code 3 recorded 2023-12-04

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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