| Clear Skies Therapy Center | |
|
136 S Academy Ave Eagle ID 83616-6541 | |
| (208) 254-1112 | |
| Not Available |
| Full Name | Clear Skies Therapy Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 136 S Academy Ave, Eagle, Idaho |
| Authorized Official Name and Position | Melissa Kohler (OWNER) |
| Authorized Official Contact | 2082541112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Skies Therapy Center 13477 W Bluebonnet Dr Boise ID 83713-1341 Ph: (208) 254-1112 | Clear Skies Therapy Center 136 S Academy Ave Eagle ID 83616-6541 Ph: (208) 254-1112 |
| NPI Number | 1174237044 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174237044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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