| Mindful Counseling Llc | |
|
631 Second St East Suite 201 Ketchum ID 83340 | |
| (208) 917-3694 | |
| Not Available |
| Full Name | Mindful Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 631 Second St East, Ketchum, Idaho |
| Authorized Official Name and Position | Ali Marie Smith (OWNER) |
| Authorized Official Contact | 2089496090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Counseling Llc Po Box 627 Picabo ID 83348-0627 Ph: (208) 949-6090 | Mindful Counseling Llc 631 Second St East Suite 201 Ketchum ID 83340 Ph: (208) 917-3694 |
| NPI Number | 1629839097 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629839097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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