Organization
LIVING WELL, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNNE MOREHOUSE LCSW (PRESIDENT)
(208) 322-2412
Entity
Organization
Contact information
Practice address
6003 W OVERLAND RD, SUITE 101, BOISE, ID 83709-3073
(208) 322-2412
(208) 345-2077
Mailing address
6003 W OVERLAND RD, SUITE 101, BOISE, ID 83709-3073
(208) 322-2412
(208) 345-2077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW29353
ID
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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