| Holloway Counseling Llc | |
|
1909 S 10th Ave Caldwell ID 83605-4842 | |
| (208) 599-6972 | |
| Not Available |
| Full Name | Holloway Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1909 S 10th Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Devon C Holloway (OWNER/THERAPIST) |
| Authorized Official Contact | 2085996972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holloway Counseling Llc Po Box 5142 Boise ID 83705-0142 Ph: (208) 599-6972 | Holloway Counseling Llc 1909 S 10th Ave Caldwell ID 83605-4842 Ph: (208) 599-6972 |
| NPI Number | 1316626070 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316626070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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