Wise Mind Online Therapy | |
16252 E 3rd St Bayview ID 83803-8002 | |
(208) 243-3332 | |
Not Available |
Full Name | Wise Mind Online Therapy |
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Speciality | Clinic/center - Adult Mental Health |
Location | 16252 E 3rd St, Bayview, Idaho |
Authorized Official Name and Position | Travis Reed Stephens (OWNER) |
Authorized Official Contact | 2082433332 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wise Mind Online Therapy 16252 E 3rd St Bayview ID 83803-8002 Ph: () - | Wise Mind Online Therapy 16252 E 3rd St Bayview ID 83803-8002 Ph: (208) 243-3332 |
NPI Number | 1831802446 |
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Provider Enumeration Date | 12/28/2022 |
Last Update Date | 12/28/2022 |
Certification Date | 12/28/2022 |
Identifier | Type | State | Issuer |
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1831802446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |