| Roots Ecotherapy Llc | |
|
2035 S Three Mile Creek Rd Boise ID 83709-2642 | |
| (208) 484-7813 | |
| Not Available |
| Full Name | Roots Ecotherapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2035 S Three Mile Creek Rd, Boise, Idaho |
| Authorized Official Name and Position | April Watts (OWNER) |
| Authorized Official Contact | 2084847813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Ecotherapy Llc 2035 S Three Mile Creek Rd Boise ID 83709-2642 Ph: (208) 484-7813 | Roots Ecotherapy Llc 2035 S Three Mile Creek Rd Boise ID 83709-2642 Ph: (208) 484-7813 |
| NPI Number | 1518716430 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518716430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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