| Red Oak Counseling, Llc | |
|
1406 N Main St Ste 114 Meridian ID 83642-1798 | |
| (208) 953-7721 | |
| (208) 963-3106 |
| Full Name | Red Oak Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1406 N Main St Ste 114, Meridian, Idaho |
| Authorized Official Name and Position | Ofelia Andrews (OWNER) |
| Authorized Official Contact | 2089537721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Oak Counseling, Llc 5130 N Ice Springs Way Boise ID 83713-2040 Ph: (208) 953-7721 | Red Oak Counseling, Llc 1406 N Main St Ste 114 Meridian ID 83642-1798 Ph: (208) 953-7721 |
| NPI Number | 1184362071 |
|---|---|
| Provider Enumeration Date | 05/22/2022 |
| Last Update Date | 08/05/2022 |
| Certification Date | 06/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184362071 | NPI | - | NPPES |
| 1396203212 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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