| Lifestyle Changes Counseling, Inc | |
|
219 Gooding St N Twin Falls ID 83301-6178 | |
| (208) 734-5230 | |
| (208) 732-5894 |
| Full Name | Lifestyle Changes Counseling, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 219 Gooding St N, Twin Falls, Idaho |
| Authorized Official Name and Position | William L Virtue (PRESIDENT) |
| Authorized Official Contact | 2083165436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Changes Counseling, Inc 219 Gooding St N Twin Falls ID 83301-6178 Ph: (208) 734-5230 | Lifestyle Changes Counseling, Inc 219 Gooding St N Twin Falls ID 83301-6178 Ph: (208) 734-5230 |
| NPI Number | 1487102331 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487102331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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