# ABBADADDY HOUSE, INC

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

## Provider details

- **NPI number:** 1912290560
- **Authorized official:** MYRNA THATCHER LMFT (PRESIDENT)
- **Authorized official phone:** (208) 962-7384

## Contact information

- **Practice address:** 109 S MILL ST, GRANGEVILLE, ID 83530-2246
- **Practice address phone:** (208) 962-7384
- **Mailing address:** PO BOX 506, COTTONWOOD, ID 83522-0506
- **Mailing address phone:** (208) 962-7384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LMFT 2654 | ID | Yes |

## Other

- **Enumeration date:** 05/16/2011
- **Last updated:** 05/16/2011