| Greater Mind Integration, Pllc | |
|
3350 W Americana Ter Ste 330c Boise ID 83706-2547 | |
| (208) 273-3514 | |
| (208) 593-4357 |
| Full Name | Greater Mind Integration, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3350 W Americana Ter Ste 330c, Boise, Idaho |
| Authorized Official Name and Position | Tracy Lynn Roe (OWNER/PROVIDER) |
| Authorized Official Contact | 2088663971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Mind Integration, Pllc 2800 N Bogus Basin Rd Apt D103 Boise ID 83702-0976 Ph: (208) 866-3971 | Greater Mind Integration, Pllc 3350 W Americana Ter Ste 330c Boise ID 83706-2547 Ph: (208) 273-3514 |
| NPI Number | 1295559797 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295559797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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