| Therapy V.i.p. Llc | |
|
827 W Prairie Ave Hayden ID 83835-8459 | |
| (208) 925-0082 | |
| Not Available |
| Full Name | Therapy V.i.p. Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 827 W Prairie Ave, Hayden, Idaho |
| Authorized Official Name and Position | Catherine Michelle Strigotte (PARTNER) |
| Authorized Official Contact | 7607153707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy V.i.p. Llc Po Box 947 Hayden ID 83835-0947 Ph: (208) 925-0082 | Therapy V.i.p. Llc 827 W Prairie Ave Hayden ID 83835-8459 Ph: (208) 925-0082 |
| NPI Number | 1508502154 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508502154 | NPI | - | NPPES |
| 1013672534 | Medicaid | ID | |
| 1023471943 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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