| Abundance Counseling And Wellness Llc | |
|
4700 N Cloverdale Rd Ste 208 Boise ID 83713-1068 | |
| (208) 283-2527 | |
| (208) 550-3478 |
| Full Name | Abundance Counseling And Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4700 N Cloverdale Rd Ste 208, Boise, Idaho |
| Authorized Official Name and Position | Teresa Anne Heald (PARTNER AND PSYCHOTHERAPIST) |
| Authorized Official Contact | 2082832527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundance Counseling And Wellness Llc 4700 N Cloverdale Rd Ste 208 Boise ID 83713-1068 Ph: (208) 283-2527 | Abundance Counseling And Wellness Llc 4700 N Cloverdale Rd Ste 208 Boise ID 83713-1068 Ph: (208) 283-2527 |
| NPI Number | 1225756760 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Certification Date | 08/18/2022 |
| Medicare PECOS PAC ID | 9931585684 |
|---|---|
| Medicare Enrollment ID | O20221003002757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225756760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Teresa A Heald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538593546 PECOS PAC ID: 5193152106 Enrollment ID: I20200303001198 |
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