Organization
INSPIRATO WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA C LUMIA LCSW (OWNER)
(208) 629-7733
Entity
Organization
Contact information
Practice address
2313 W BELLA ST, BOISE, ID 83702-0423
(208) 908-6755
Mailing address
2313 W BELLA ST, BOISE, ID 83702-0423
(208) 908-6755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
36289
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8082880
—
ID
Enumeration date
01/31/2017
Last updated
03/07/2017
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