| Awakenings Mental Health, Pllc | |
|
6126 W State St Ofc 104 Boise ID 83703-2741 | |
| (208) 555-5555 | |
| Not Available |
| Full Name | Awakenings Mental Health, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6126 W State St Ofc 104, Boise, Idaho |
| Authorized Official Name and Position | Talia Sierra (CO-OWNER) |
| Authorized Official Contact | 2086315593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awakenings Mental Health, Pllc 6126 W State St Ofc 104 Boise ID 83703-2741 Ph: () - | Awakenings Mental Health, Pllc 6126 W State St Ofc 104 Boise ID 83703-2741 Ph: (208) 555-5555 |
| NPI Number | 1679257430 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679257430 | NPI | - | NPPES |
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