Organization
LUMINOUS WISDOM SANDPLAY THERAPY AND COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MARIE ELSBREE LCSW (CLINICAL SOCIAL WORKER)
(208) 243-9152
Entity
Organization
Contact information
Practice address
250 S SKYLINE DR STE 3, IDAHO FALLS, ID 83402-3294
(208) 243-9152
(888) 240-1846
Mailing address
2235 E 25TH ST STE 140, IDAHO FALLS, ID 83404-8090
(208) 243-9152
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
10/01/2024
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