METAMORHPOSIS COUNSELING CENTER OF IDAHO LLC NPI 1568639771

NPI Information

METAMORHPOSIS COUNSELING CENTER OF IDAHO, LLC is a mental health (including community mental health center) clinic center in Boise, ID. METAMORHPOSIS COUNSELING CENTER OF IDAHO, LLC NPI is 1568639771. The provider is registered as an organization entity type.

The provider's business location address is:

10108 W OVERLAND RD
SUITE A
BOISE, ID
ZIP 83709-428
Phone: (208) 376-1532
Fax: (208) 375-7251

The provider's authorized official is Terry Everett Miller .
The authorized official title is Owner and has the following contact phone number (208) 376-1532.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 10/18/2016.

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:

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