Organization
IMPACT COUNSELING AND TREATMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRIDITH MANNING LMFT (MEMBER, OWNER)
(208) 917-2543
Entity
Organization
Contact information
Practice address
6003 W OVERLAND RD STE 101, BOISE, ID 83709-3075
(208) 917-2543
(208) 917-8598
Mailing address
961 E ODYSSEY ST, KUNA, ID 83634-5618
(208) 576-9239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/05/2022
Last updated
08/21/2024
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