| Proactive Living, Llc | |
|
2520 S 5th Ave Pocatello ID 83204-1923 | |
| (208) 233-5433 | |
| (877) 284-2783 |
| Full Name | Proactive Living, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2520 S 5th Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Steven Mckee (OWNER) |
| Authorized Official Contact | 2082335433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Living, Llc 2520 S 5th Ave Pocatello ID 83204-1923 Ph: (208) 233-5433 | Proactive Living, Llc 2520 S 5th Ave Pocatello ID 83204-1923 Ph: (208) 233-5433 |
| NPI Number | 1063264778 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063264778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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