| Cloverleaf Therapy | |
|
3000 Pancheri Dr Unit 3 Idaho Falls ID 83402-5095 | |
| (509) 823-5629 | |
| Not Available |
| Full Name | Cloverleaf Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3000 Pancheri Dr Unit 3, Idaho Falls, Idaho |
| Authorized Official Name and Position | Heather Steimlosk (OWNER FOUNDER) |
| Authorized Official Contact | 2085235602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloverleaf Therapy 3000 Pancheri Dr Unit 3 Idaho Falls ID 83402-5095 Ph: (509) 823-5629 | Cloverleaf Therapy 3000 Pancheri Dr Unit 3 Idaho Falls ID 83402-5095 Ph: (509) 823-5629 |
| NPI Number | 1376907485 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376907485 | NPI | - | NPPES |
| 1538497615 | Other | ID | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW 35130 (Idaho) | Primary |
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