| Phyllis Mckinley Viviani, Llc | |
|
106 N Latah St Ste C Boise ID 83706-2624 | |
| (208) 918-2810 | |
| Not Available |
| Full Name | Phyllis Mckinley Viviani, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 106 N Latah St Ste C, Boise, Idaho |
| Authorized Official Name and Position | Phyllis Mckinley (OWNER) |
| Authorized Official Contact | 2089182810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Mckinley Viviani, Llc 106 N Latah St Ste C Boise ID 83706-2624 Ph: (208) 918-2810 | Phyllis Mckinley Viviani, Llc 106 N Latah St Ste C Boise ID 83706-2624 Ph: (208) 918-2810 |
| NPI Number | 1003766171 |
|---|---|
| Provider Enumeration Date | 01/29/2026 |
| Last Update Date | 02/18/2026 |
| Certification Date | 02/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003766171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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