Organization
CLOVERLEAF THERAPY, LLC
Active
Other names
Cloverleaf Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER STEIMLOSK LCSW (OWNER FOUNDER)
(208) 523-5602
Entity
Organization
Contact information
Practice address
3000 PANCHERI DR UNIT 3, IDAHO FALLS, ID 83402-5095
(509) 823-5629
Mailing address
3000 PANCHERI DR UNIT 3, IDAHO FALLS, ID 83402-5095
(509) 823-5629
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW 35130
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538497615
NPI
ID
Enumeration date
04/06/2016
Last updated
04/06/2016
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