| Kim Keys, Llc | |
|
3050 N Lakeharbor Ln Ste 248 Boise ID 83703-6281 | |
| (208) 991-4696 | |
| (208) 902-3728 |
| Full Name | Kim Keys, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3050 N Lakeharbor Ln Ste 248, Boise, Idaho |
| Authorized Official Name and Position | Kim Keys (OWNER) |
| Authorized Official Contact | 2089914696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Keys, Llc 3050 N Lakeharbor Ln Ste 248 Boise ID 83703-6281 Ph: (208) 991-4696 | Kim Keys, Llc 3050 N Lakeharbor Ln Ste 248 Boise ID 83703-6281 Ph: (208) 991-4696 |
| NPI Number | 1386103224 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386103224 | NPI | - | NPPES |
| 9198 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| LCPC-401 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 6488 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 7806 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 7285 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 7468 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 9602 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| LCPC-3851 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 40070 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 40369 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 8006 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 39596 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| LCPC-5497 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| LPC-5985 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 9364 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| 9565 | Other | ID | IDAHO BOARD OF OCCUPATIONAL LICENSES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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