| Impact Counseling And Treatment Services, Llc | |
|
6003 W Overland Rd Ste 101 Boise ID 83709-3075 | |
| (208) 917-2543 | |
| (208) 917-8598 |
| Full Name | Impact Counseling And Treatment Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6003 W Overland Rd Ste 101, Boise, Idaho |
| Authorized Official Name and Position | Merridith Manning (MEMBER, OWNER) |
| Authorized Official Contact | 2089172543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Counseling And Treatment Services, Llc 961 E Odyssey St Kuna ID 83634-5618 Ph: (208) 576-9239 | Impact Counseling And Treatment Services, Llc 6003 W Overland Rd Ste 101 Boise ID 83709-3075 Ph: (208) 917-2543 |
| NPI Number | 1457084667 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457084667 | NPI | - | NPPES |
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