| Nurture Your Soul Counseling And Consulting, Llc | |
|
5114 Danville St Caldwell ID 83605-5987 | |
| (909) 263-9964 | |
| Not Available |
| Full Name | Nurture Your Soul Counseling And Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5114 Danville St, Caldwell, Idaho |
| Authorized Official Name and Position | Caroline Mallika Ewan (THERAPIST) |
| Authorized Official Contact | 9092639964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurture Your Soul Counseling And Consulting, Llc 10673 W Lake Hazel Rd # 1001 Boise ID 83709-5453 Ph: (909) 263-9964 | Nurture Your Soul Counseling And Consulting, Llc 5114 Danville St Caldwell ID 83605-5987 Ph: (909) 263-9964 |
| NPI Number | 1578222642 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 12/15/2021 |
| Certification Date | 12/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578222642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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