NPI age
19 years
Enumerated 2007-04-20
● Active Type 2 · Organization
Mental Wellness Clinic Of Coeur D Alene
Mental Wellness Clinic Of Coeur D Alene is 1 of 305 specialist organizations in Idaho.
Primary specialty
Specialist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lagrou
Owner Program Manager
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
How this organization compares
Across 305 active specialist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 11% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
500 N Government Way, Suite 100
Coeur D Alene, ID 838142913
Mailing address
500 N Government Way, Suite 100
Coeur D Alene, ID 838142913
Authorized official
Kelly P Lagrou, BA
Owner Program Manager
📞 2086761003
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kylie Worley Counselor NPI 1588453864
Specialties
-
Specialist PrimaryAn 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.
-
Case Manager/Care CoordinatorA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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