HEALING HUB LLC NPI 1407549041

NPI Information

NPI: 1407549041
Provider Name: HEALING HUB LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
8677 N WAYNE DR STE B
HAYDEN, ID
ZIP 83835
Phone: (208) 691-0691
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HEALING HUB LLC is a professional counselor in Hayden, ID. HEALING HUB LLC NPI is 1407549041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8677 N WAYNE DR STE B
HAYDEN, ID
ZIP 83835-190
Phone: (208) 691-0691

The provider's authorized official is Ashton Underdahl .
The authorized official title is Co-owner and has the following contact phone number (208) 691-0691.

The enumeration date for this NPI number is 5/30/2023 and was last updated on 5/30/2023.

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	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1669956686	MEDICAID	IDAHO

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: 5/5/2024

NPI Synchronization or Removal

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