| Flourishing Life Counseling | |
|
750 W Ustick Rd Ste 120 Meridian ID 83646-6133 | |
| (208) 366-1607 | |
| (208) 366-1602 |
| Full Name | Flourishing Life Counseling |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 750 W Ustick Rd Ste 120, Meridian, Idaho |
| Authorized Official Name and Position | Patti Johnson (THERAPIST/COUNSELING MENTAL HEALTH) |
| Authorized Official Contact | 2088676551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourishing Life Counseling 750 W Ustick Rd Ste 120 Meridian ID 83646-6133 Ph: (208) 366-1607 | Flourishing Life Counseling 750 W Ustick Rd Ste 120 Meridian ID 83646-6133 Ph: (208) 366-1607 |
| NPI Number | 1134878861 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 03/21/2022 |
| Certification Date | 03/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134878861 | NPI | - | NPPES |
| 1982041430 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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