# MERIDIAN MARRIAGE AND FAMILY THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629922182
- **Authorized official:** VANESSA GARDNER LAMFT (GOVERNOR)
- **Authorized official phone:** (208) 391-3416

## Contact information

- **Practice address:** 3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
- **Practice address phone:** (208) 391-3416
- **Mailing address:** 3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
- **Mailing address phone:** (208) 391-3416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2026
- **Last updated:** 02/23/2026