NPI age
19 years
Enumerated 2007-04-02
● Active Type 2 · Organization
Eagle Crest Life Services, Inc.
Eagle Crest Life Services, Inc. is 1 of 806 community/behavioral health organizations in Idaho.
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wheeler
President
Last NPPES update
2009-03-13
Source: monthly bulk 2026-05
How this organization compares
Across 806 active community/behavioral health providers in Idaho.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
212 S 11th St, Ste. 3
Coeur D Alene, ID 838144000
Mailing address
Po Box 3723
Coeur D Alene, ID 838162529
Authorized official
Robert Wheeler, BA
President
📞 2086669162
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Angela Clancy, LCPC Counselor NPI 1649331109
- Margaret Haywood, LPC Counselor NPI 1336589076
- Scott Oden, L.M.F.T. Marriage & Family Therapist NPI 1174953822
- Robert Wheeler Counselor NPI 1659751089
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807602900 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ECLS
Practice context
Multi-provider organization. 4 individual providers 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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