| Ami Owen Pllc | |
|
2121 N Garnet Creek Ave Star ID 83669-8001 | |
| (208) 740-0544 | |
| (208) 906-8680 |
| Full Name | Ami Owen Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2121 N Garnet Creek Ave, Star, Idaho |
| Authorized Official Name and Position | Ami Owen (OWNER) |
| Authorized Official Contact | 2087400544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ami Owen Pllc 4921 W Eagle Landing Ct Eagle ID 83616-5055 Ph: (208) 740-0544 | Ami Owen Pllc 2121 N Garnet Creek Ave Star ID 83669-8001 Ph: (208) 740-0544 |
| NPI Number | 1275262727 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275262727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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