| Abundant Wellnes Center | |
|
1125 E Polston Ave Suite A Post Falls ID 83854-6045 | |
| (208) 457-1540 | |
| (208) 457-1202 |
| Full Name | Abundant Wellnes Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1125 E Polston Ave, Post Falls, Idaho |
| Authorized Official Name and Position | Tamera Leann Kinghorn (THERAPIST) |
| Authorized Official Contact | 4065608100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Wellnes Center 1125 E Polston Ave Suite A Post Falls ID 83854-6045 Ph: (208) 457-1540 | Abundant Wellnes Center 1125 E Polston Ave Suite A Post Falls ID 83854-6045 Ph: (208) 457-1540 |
| NPI Number | 1093036600 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093036600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW28967 (Montana) | Primary |
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