Organization
METAMORHPOSIS COUNSELING CENTER OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY EVERETT MILLER MS, LCPC (OWNER)
(208) 376-1532
Entity
Organization
Contact information
Practice address
10108 W OVERLAND RD, SUITE A, BOISE, ID 83709-1428
(208) 376-1532
(208) 375-7251
Mailing address
10108 W OVERLAND RD, SUITE A, BOISE, ID 83709-1428
(208) 376-1532
(208) 375-7251
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
ID
Other
Enumeration date
05/15/2008
Last updated
10/18/2016
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