Organization
ENLIGHTENED THERAPY SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BUSICK (EXECUTIVE DIRECTOR)
(208) 957-9517
Entity
Organization
Contact information
Practice address
100 W OVERLAND RD STE 201, MERIDIAN, ID 83642-3053
(208) 957-9517
Mailing address
312 N OWYHEE ST, BOISE, ID 83706-2751
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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