NPI age
18 years
Enumerated 2008-05-09
● Active Type 2 · Organization
Mountain Lake Counseling And Support Services, Inc.
Mountain Lake Counseling And Support Services, Inc. is 1 of 806 community/behavioral health organizations in Idaho.
Primary specialty
Community/Behavioral Health
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Zimmerman
President
Last NPPES update
2008-05-09
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
18 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
804 Airport Way
Sandpoint, ID 838648200
Mailing address
804 Airport Way
Sandpoint, ID 838648200
Authorized official
M. Mikell Zimmerman
President
📞 2085973553
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Mary Mikell Zimmerman, M.S. Counselor NPI 1023288974
Specialties
-
Community/Behavioral Health PrimaryA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
-
CounselorDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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