| Lilac Counseling, Llc | |
|
824 17th Ave S Ste 11 Nampa ID 83651-4781 | |
| (208) 249-0432 | |
| Not Available |
| Full Name | Lilac Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 824 17th Ave S Ste 11, Nampa, Idaho |
| Authorized Official Name and Position | Brandie Christine Degroat (BUSINESS OWNER) |
| Authorized Official Contact | 2082490432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilac Counseling, Llc 824 17th Ave S Ste 11 Nampa ID 83651-4781 Ph: (208) 249-0432 | Lilac Counseling, Llc 824 17th Ave S Ste 11 Nampa ID 83651-4781 Ph: (208) 249-0432 |
| NPI Number | 1720701485 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720701485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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