| Trailhead Counseling And Grief Services Llc | |
|
17917 N Evanton Way Boise ID 83714-5524 | |
| (208) 409-8120 | |
| Not Available |
| Full Name | Trailhead Counseling And Grief Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17917 N Evanton Way, Boise, Idaho |
| Authorized Official Name and Position | Garrett Price (OWNER) |
| Authorized Official Contact | 2084098120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trailhead Counseling And Grief Services Llc 17917 N Evanton Way Boise ID 83714-5524 Ph: (208) 409-8120 | Trailhead Counseling And Grief Services Llc 17917 N Evanton Way Boise ID 83714-5524 Ph: (208) 409-8120 |
| NPI Number | 1750859781 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750859781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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