A BALANCED LIFE EXPERIENCE NPI 1407171176

NPI Information

NPI: 1407171176
Provider Name: A BALANCED LIFE EXPERIENCE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4696 W OVERLAND RD
SUITE 118
BOISE, ID
ZIP 83705
Phone: (208) 841-3581
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A BALANCED LIFE EXPERIENCE is a mental health counselor in Boise, ID. A BALANCED LIFE EXPERIENCE NPI is 1407171176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4696 W OVERLAND RD
SUITE 118
BOISE, ID
ZIP 83705-845
Phone: (208) 841-3581

The provider's authorized official is Ann J Moore .
The authorized official title is Owner/counselor and has the following contact phone number (208) 841-3581.

The enumeration date for this NPI number is 4/6/2010 and was last updated on 4/3/2013.

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	LPC-3839	IDAHO	No
2	101YM0800X	Counselor	Mental Health	LCPC-3938	IDAHO	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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