Inner Light Counseling, Llc | |
61 E 1st S Soda Springs ID 83276 | |
(208) 425-6932 | |
(435) 417-3113 |
Full Name | Inner Light Counseling, Llc |
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Speciality | Social Worker - Clinical |
Location | 61 E 1st S, Soda Springs, Idaho |
Authorized Official Name and Position | Sherie Ann Flagg (OWNER/DIRECTOR) |
Authorized Official Contact | 2084256932 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Inner Light Counseling, Llc 61 E 1st S Soda Springs ID 83276-1437 Ph: (208) 425-6932 | Inner Light Counseling, Llc 61 E 1st S Soda Springs ID 83276 Ph: (208) 425-6932 |
NPI Number | 1184022105 |
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Provider Enumeration Date | 12/08/2014 |
Last Update Date | 05/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184022105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 80117423501 (Utah) | Primary |
Healthworks Family Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 W Center St, Soda Springs, ID 83276 Phone: 208-547-0047 | |