| Oak & Bloom Wellness | |
|
1328 E Independence St Boise ID 83706-5625 | |
| (208) 695-7238 | |
| Not Available |
| Full Name | Oak & Bloom Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1328 E Independence St, Boise, Idaho |
| Authorized Official Name and Position | Natalia Samudovsky (THERAPIST/COUNSELOR) |
| Authorized Official Contact | 2086957238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak & Bloom Wellness 1328 E Independence St Boise ID 83706-5625 Ph: () - | Oak & Bloom Wellness 1328 E Independence St Boise ID 83706-5625 Ph: (208) 695-7238 |
| NPI Number | 1255120804 |
|---|---|
| Provider Enumeration Date | 05/01/2025 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255120804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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