| Play Therapy House, Inc. | |
|
3829 W Catalina Rd Boise ID 83705-4611 | |
| (208) 407-3562 | |
| Not Available |
| Full Name | Play Therapy House, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3829 W Catalina Rd, Boise, Idaho |
| Authorized Official Name and Position | Kailee Mcmahon (REGISTERED AGENT) |
| Authorized Official Contact | 2084071180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Play Therapy House, Inc. Po Box 5791 Boise ID 83705-0791 Ph: (208) 407-1180 | Play Therapy House, Inc. 3829 W Catalina Rd Boise ID 83705-4611 Ph: (208) 407-3562 |
| NPI Number | 1902398548 |
|---|---|
| Provider Enumeration Date | 05/30/2018 |
| Last Update Date | 05/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902398548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCPC-6860 (Idaho) | Primary |
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