Organization
THE COUCH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN GAUSSE (CEO)
(208) 615-6973
Entity
Organization
Contact information
Practice address
3350 W AMERICANA TER STE 320, BOISE, ID 83706-2548
(208) 615-5973
Mailing address
3901 W STACY DR, BOISE, ID 83703-4853
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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