| Balanced Dynamics Counseling Pllc | |
|
9628 W State St Star ID 83669-5858 | |
| (208) 505-9229 | |
| Not Available |
| Full Name | Balanced Dynamics Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9628 W State St, Star, Idaho |
| Authorized Official Name and Position | Kelsi Kay Woodburn (OWNER/COUNSELOR) |
| Authorized Official Contact | 2085059229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Dynamics Counseling Pllc 1216 N 58th St Nampa ID 83687-9634 Ph: (208) 629-9629 | Balanced Dynamics Counseling Pllc 9628 W State St Star ID 83669-5858 Ph: (208) 505-9229 |
| NPI Number | 1396589651 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396589651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Allied Mental Health Services, P.l.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11104 W. State St., Star, ID 83669 Phone: 208-286-7967 Fax: 208-286-9047 |