| Real World Mental Wellness Center, P.c. | |
|
9458 W Fairview Ave Ste J Boise ID 83704-9785 | |
| (208) 713-8070 | |
| (208) 362-2010 |
| Full Name | Real World Mental Wellness Center, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9458 W Fairview Ave Ste J, Boise, Idaho |
| Authorized Official Name and Position | Marilyn Sears (PRESIDENT) |
| Authorized Official Contact | 2087138070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real World Mental Wellness Center, P.c. 9458 W Fairview Ave Ste J Boise ID 83704-9785 Ph: (208) 713-8070 | Real World Mental Wellness Center, P.c. 9458 W Fairview Ave Ste J Boise ID 83704-9785 Ph: (208) 713-8070 |
| NPI Number | 1427176874 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427176874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1080 (Idaho) | Primary |
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