| Healthy Place Counseling, Inc. | |
|
255 B St Suite 300 Idaho Falls ID 83402-3566 | |
| (208) 524-4818 | |
| Not Available |
| Full Name | Healthy Place Counseling, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 255 B St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Kirk R. Korenke (OWNER) |
| Authorized Official Contact | 2082004818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Place Counseling, Inc. 255 B St Suite 300 Idaho Falls ID 83402-3566 Ph: (208) 524-4818 | Healthy Place Counseling, Inc. 255 B St Suite 300 Idaho Falls ID 83402-3566 Ph: (208) 524-4818 |
| NPI Number | 1497888713 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497888713 | NPI | - | NPPES |
| 806909300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-2788 (Idaho) | Primary |
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