Organization
KIND LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WILKERSON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(208) 830-8655
Entity
Organization
Contact information
Practice address
223 N 6TH ST STE 240, BOISE, ID 83702-6092
(208) 713-0200
Mailing address
223 N 6TH ST STE 240, BOISE, ID 83702-6092
(208) 830-8655
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/15/2024
Last updated
08/20/2025
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