Organization
LIFEPATH SERVICES LLC
Active
Other names
Lifepath Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANEY GILES B.S. (DIRECTOR)
(208) 780-3900
Entity
Organization
Contact information
Practice address
8675 W ARDENE ST, BOISE, ID 83709
(208) 780-3900
(208) 375-2882
Mailing address
8675 W ARDENE ST, BOISE, ID 83709
(208) 780-3900
(208) 375-2882
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477920270
—
ID
Enumeration date
08/27/2015
Last updated
10/30/2023
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