| Inspirato Wellness, Pllc | |
|
2313 W Bella St Boise ID 83702-0423 | |
| (208) 908-6755 | |
| Not Available |
| Full Name | Inspirato Wellness, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2313 W Bella St, Boise, Idaho |
| Authorized Official Name and Position | Deena C Lumia (OWNER) |
| Authorized Official Contact | 2086297733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspirato Wellness, Pllc 2313 W Bella St Boise ID 83702-0423 Ph: (208) 908-6755 | Inspirato Wellness, Pllc 2313 W Bella St Boise ID 83702-0423 Ph: (208) 908-6755 |
| NPI Number | 1477090264 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477090264 | NPI | - | NPPES |
| 8082880 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 36289 (Idaho) | Primary |
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