| Catalyst Counseling And Wellness Llc | |
|
1015 W Hays St Ste 102 Boise ID 83702-5412 | |
| (208) 207-8889 | |
| Not Available |
| Full Name | Catalyst Counseling And Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1015 W Hays St Ste 102, Boise, Idaho |
| Authorized Official Name and Position | Avalon Derlacki Prentiss (OWNER) |
| Authorized Official Contact | 2082078889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catalyst Counseling And Wellness Llc 1015 W Hays St Ste 102 Boise ID 83702-5412 Ph: (208) 207-8889 | Catalyst Counseling And Wellness Llc 1015 W Hays St Ste 102 Boise ID 83702-5412 Ph: (208) 207-8889 |
| NPI Number | 1265202675 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265202675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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