| Azure River Wellness, Counseling Llc | |
|
1524 W Hays St Ste 202 Boise ID 83702-4035 | |
| (208) 598-0372 | |
| Not Available |
| Full Name | Azure River Wellness, Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1524 W Hays St Ste 202, Boise, Idaho |
| Authorized Official Name and Position | Esther Ann Mccleaft (COUNSELOR/CEO) |
| Authorized Official Contact | 2087953377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azure River Wellness, Counseling Llc 6864 Lamplighter St Boise ID 83714-2443 Ph: (208) 598-0372 | Azure River Wellness, Counseling Llc 1524 W Hays St Ste 202 Boise ID 83702-4035 Ph: (208) 598-0372 |
| NPI Number | 1447852157 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 12/19/2020 |
| Certification Date | 12/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447852157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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