| Collier Professional Counseling, Llc | |
|
2308 N Cole Rd Ste C Boise ID 83704-7361 | |
| (208) 972-4691 | |
| (208) 576-6110 |
| Full Name | Collier Professional Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2308 N Cole Rd Ste C, Boise, Idaho |
| Authorized Official Name and Position | Anita Ann Collier (THERAPIST / OWNER) |
| Authorized Official Contact | 2089724691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier Professional Counseling, Llc 2308 N Cole Rd Ste C Boise ID 83704-7361 Ph: (208) 972-4691 | Collier Professional Counseling, Llc 2308 N Cole Rd Ste C Boise ID 83704-7361 Ph: (208) 972-4691 |
| NPI Number | 1629844162 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 2466898234 |
|---|---|
| Medicare Enrollment ID | O20240314003772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629844162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Anita Ann Collier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710011515 PECOS PAC ID: 0547606311 Enrollment ID: I20240314003860 |
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