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Organization
LIFEPATH SERVICES LLC
Active
Organization
LIFEPATH SERVICES LLC
Active
Other names
Lifepath Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANEY GILES B.S. (DIRECTOR)
(208) 780-3900
Entity
Organization
Contact information
Practice address
8675 W ARDENE ST, BOISE, ID 83709
(208) 780-3900
(208) 375-2882
Mailing address
8675 W ARDENE ST, BOISE, ID 83709
(208) 780-3900
(208) 375-2882
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477920270
—
ID
Enumeration date
08/27/2015
Last updated
10/30/2023
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