Ambers House Of Integrative Therapy For All Ages | |
4090 W State St Ste 103 Boise ID 83703-4450 | |
(208) 867-3288 | |
(888) 730-6010 |
Full Name | Ambers House Of Integrative Therapy For All Ages |
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Speciality | Social Worker |
Location | 4090 W State St Ste 103, Boise, Idaho |
Authorized Official Name and Position | Amber Lynn Hoid (OWNER/THERAPIST) |
Authorized Official Contact | 2088673288 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ambers House Of Integrative Therapy For All Ages 10177 W Canterbury Dr Boise ID 83704-5319 Ph: (208) 867-3288 | Ambers House Of Integrative Therapy For All Ages 4090 W State St Ste 103 Boise ID 83703-4450 Ph: (208) 867-3288 |
NPI Number | 1184326142 |
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Provider Enumeration Date | 03/21/2023 |
Last Update Date | 03/21/2023 |
Certification Date | 03/21/2023 |
Medicare PECOS PAC ID | 2365816626 |
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Medicare Enrollment ID | O20230328001763 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184326142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Amber Lynn Hoid |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922621747 PECOS PAC ID: 2466835921 Enrollment ID: I20220816001373 |
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