Organization
AURA COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CRISTINA KAPPEL LCPC (OWNER/ CLINICAL DIRECTOR)
(208) 463-4639
Entity
Organization
Contact information
Practice address
3050 12TH AVE RD, NAMPA, ID 83686
(208) 463-4639
(208) 505-4559
Mailing address
3050 12TH AVE RD, NAMPA, ID 83686-8400
(208) 463-4639
(208) 505-4559
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649720558
—
ID
05
—
1942630041
—
ID
Enumeration date
10/04/2016
Last updated
06/13/2018
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