| Heart And Mind Counseling Pllc | |
|
413 N Allumbaugh St Ste 102 Boise ID 83704-9219 | |
| (208) 918-8700 | |
| Not Available |
| Full Name | Heart And Mind Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 413 N Allumbaugh St Ste 102, Boise, Idaho |
| Authorized Official Name and Position | Laura E Root (OWNER/CLINICIAN) |
| Authorized Official Contact | 2089188700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart And Mind Counseling Pllc 115 N Louisa St Boise ID 83712-8234 Ph: (208) 918-8700 | Heart And Mind Counseling Pllc 413 N Allumbaugh St Ste 102 Boise ID 83704-9219 Ph: (208) 918-8700 |
| NPI Number | 1659944353 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/04/2022 |
| Medicare PECOS PAC ID | 4688064991 |
|---|---|
| Medicare Enrollment ID | O20211130003118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659944353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura E Root |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023171428 PECOS PAC ID: 9537126941 Enrollment ID: I20041217000227 |
| Provider Name | Summer Ann Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295209617 PECOS PAC ID: 8325370331 Enrollment ID: I20191024000717 |
| Provider Name | Leslie Szasz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205296134 PECOS PAC ID: 0840626602 Enrollment ID: I20230315002938 |
| Provider Name | Dalana Sue Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942735949 PECOS PAC ID: 1850825258 Enrollment ID: I20241107002313 |
| Provider Name | Julie Anne Dephue |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861675126 PECOS PAC ID: 8921354424 Enrollment ID: I20250206001911 |
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