Living Well, Inc, | |
6003 W Overland Rd Suite 101 Boise ID 83709-3073 | |
(208) 322-2412 | |
(208) 345-2077 |
Full Name | Living Well, Inc, |
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Speciality | Counselor - Mental Health |
Location | 6003 W Overland Rd, Boise, Idaho |
Authorized Official Name and Position | Tammy Lynne Morehouse (PRESIDENT) |
Authorized Official Contact | 2083222412 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Living Well, Inc, 6003 W Overland Rd Suite 101 Boise ID 83709-3073 Ph: (208) 322-2412 | Living Well, Inc, 6003 W Overland Rd Suite 101 Boise ID 83709-3073 Ph: (208) 322-2412 |
NPI Number | 1013153162 |
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Provider Enumeration Date | 12/19/2008 |
Last Update Date | 12/19/2008 |
Identifier | Type | State | Issuer |
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1013153162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCSW29353 (Idaho) | Primary |
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