| Wellspring Counseling Services, Llc | |
| 
					2589 S Five Mile Rd Boise ID 83709-2325  | |
| (208) 908-6320 | |
| (208) 908-6404 | 
| Full Name | Wellspring Counseling Services, Llc | 
|---|---|
| Speciality | Psychologist - Counseling | 
| Location | 2589 S Five Mile Rd, Boise, Idaho | 
| Authorized Official Name and Position | Laureen Kay Rhuman (OWNER/COUNSELOR) | 
| Authorized Official Contact | 2089086320 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wellspring Counseling Services, Llc 8358 S Slide Creek Ln Meridian ID 83642-7193 Ph: (208) 757-9957  | Wellspring Counseling Services, Llc 2589 S Five Mile Rd Boise ID 83709-2325 Ph: (208) 908-6320  | 
| NPI Number | 1720502354 | 
|---|---|
| Provider Enumeration Date | 07/25/2017 | 
| Last Update Date | 06/11/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720502354 | NPI | - | NPPES | 
| 0056-0107189 | Medicaid | ID | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary | 
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