Organization
MOUNTAIN VALLEY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEY MCCORMICK MA, LPC, NCC (OWNER)
(208) 986-9596
Entity
Organization
Contact information
Practice address
2040 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 986-9596
Mailing address
PO BOX 225, NAMPA, ID 83653-0225
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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