Organization
HEALING HUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON UNDERDAHL (CO-OWNER)
(208) 691-0691
Entity
Organization
Contact information
Practice address
8677 N WAYNE DR STE B, HAYDEN, ID 83835-5190
(208) 691-0691
Mailing address
2680 E HAYDEN VIEW DR, COEUR D ALENE, ID 83815-7038
(208) 691-0691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669956686
—
ID
Enumeration date
05/30/2023
Last updated
03/02/2026
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