| Gyst Counseling & Wellness Llc | |
|
1002 Blaine St Suite 208 Caldwell ID 83605-5574 | |
| (208) 901-9159 | |
| Not Available |
| Full Name | Gyst Counseling & Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1002 Blaine St, Caldwell, Idaho |
| Authorized Official Name and Position | Mark Edward Whitney (MEMBER) |
| Authorized Official Contact | 2084731263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gyst Counseling & Wellness Llc 11920 Webster St Caldwell ID 83605-5506 Ph: (208) 473-1263 | Gyst Counseling & Wellness Llc 1002 Blaine St Suite 208 Caldwell ID 83605-5574 Ph: (208) 901-9159 |
| NPI Number | 1538414362 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 07/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538414362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | W112925 (Idaho) | Primary |
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