| Pacific Mind Institute | |
|
2596 N Stokesberry Pl Ste 165 Meridian ID 83646-6281 | |
| (208) 631-0843 | |
| (208) 906-0807 |
| Full Name | Pacific Mind Institute |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2596 N Stokesberry Pl Ste 165, Meridian, Idaho |
| Authorized Official Name and Position | Erica Jane Van Leuven (OWNER/CLINICIAN) |
| Authorized Official Contact | 2086310843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Mind Institute 2596 N Stokesberry Pl Ste 165 Meridian ID 83646-6281 Ph: (208) 631-0843 | Pacific Mind Institute 2596 N Stokesberry Pl Ste 165 Meridian ID 83646-6281 Ph: (208) 631-0843 |
| NPI Number | 1346759495 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346759495 | NPI | - | NPPES |
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