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Organization

PHYLLIS MCKINLEY VIVIANI, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHYLLIS MCKINLEY LPC (OWNER)
(208) 918-2810
Entity
Organization

Contact information

Practice address
106 N LATAH ST STE C, BOISE, ID 83706-2624
(208) 918-2810
Mailing address
106 N LATAH ST STE C, BOISE, ID 83706-2624
(208) 918-2810

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/29/2026
Last updated
02/18/2026
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