| Inner Balance Counseling Llc | |
|
216 12th Ave Rd Nampa ID 83686-5013 | |
| (208) 965-8180 | |
| Not Available |
| Full Name | Inner Balance Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 216 12th Ave Rd, Nampa, Idaho |
| Authorized Official Name and Position | Joesph A. Bugher (LLC MANAGER, PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2089658180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Balance Counseling Llc 216 12th Ave Rd Nampa ID 83686-5013 Ph: (208) 965-8180 | Inner Balance Counseling Llc 216 12th Ave Rd Nampa ID 83686-5013 Ph: (208) 965-8180 |
| NPI Number | 1215222138 |
|---|---|
| Provider Enumeration Date | 06/20/2011 |
| Last Update Date | 06/20/2011 |
| Medicare PECOS PAC ID | 8628414950 |
|---|---|
| Medicare Enrollment ID | O20240308003555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215222138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC-4628 (Idaho) | Primary |
| Provider Name | Lawrence Edward Stanciu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255646618 PECOS PAC ID: 5193161420 Enrollment ID: I20240308003529 |
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