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Organization
KELLEY KIDS RANCH, LLC
Active
Organization
KELLEY KIDS RANCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY T THOMAS LCSW (OWNER)
(208) 675-7350
Entity
Organization
Contact information
Practice address
514 THAIN RD STE B, LEWISTON, ID 83501-5533
(208) 413-7353
(208) 413-7338
Mailing address
514 THAIN RD STE B, LEWISTON, ID 83501-5533
(208) 413-7353
(208) 413-7338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
07/20/2026
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