Organization
A TIME FOR CHANGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA J BAUMGARTNER LCSW (OWNER/THERAPIST)
(208) 219-9196
Entity
Organization
Contact information
Practice address
737 W 18TH ST, BURLEY, ID 83318-2206
(208) 568-5348
Mailing address
737 W 18TH ST, BURLEY, ID 83318-2206
(208) 568-5348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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