LIFESPAN COUNSELING SERVICES NPI 1154483717

NPI Information

NPI: 1154483717
Provider Name: LIFESPAN COUNSELING SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1510 ROBERT ST
STE 101
BOISE, ID
ZIP 83705
Phone: (208) 344-0844
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LIFESPAN COUNSELING SERVICES is a mental health counselor in Boise, ID. LIFESPAN COUNSELING SERVICES NPI is 1154483717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1510 ROBERT ST
STE 101
BOISE, ID
ZIP 83705-528
Phone: (208) 344-0844
Fax: (208) 344-0592

The provider's authorized official is Tori Beauclaire .
The authorized official title is Co-partner and has the following contact phone number (208) 344-0844.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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