| Soulistic Healing, Llc | |
|
725 N 15th St Boise ID 83702-4020 | |
| (208) 955-8272 | |
| Not Available |
| Full Name | Soulistic Healing, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 725 N 15th St, Boise, Idaho |
| Authorized Official Name and Position | Lisa Semmler (OWNER) |
| Authorized Official Contact | 2087611109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulistic Healing, Llc 701 N Stanley St Boise ID 83706-2031 Ph: (208) 761-1109 | Soulistic Healing, Llc 725 N 15th St Boise ID 83702-4020 Ph: (208) 955-8272 |
| NPI Number | 1699389171 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699389171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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