Provider Demographics
NPI:1871317040
Name:SONTAG COUNSELING PLLC
Entity type:Organization
Organization Name:SONTAG COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SONTAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-369-5293
Mailing Address - Street 1:2201 N BRYSON RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-5038
Mailing Address - Country:US
Mailing Address - Phone:406-369-5293
Mailing Address - Fax:
Practice Address - Street 1:2201 N BRYSON RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-5038
Practice Address - Country:US
Practice Address - Phone:406-369-5293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty