Organization
MINDFUL MOMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEA B HARGER LCSW (OWNER)
(208) 771-1054
Entity
Organization
Contact information
Practice address
15636 N HIGHWAY 41 STE 700, RATHDRUM, ID 83858-8710
(208) 771-1054
(208) 712-6809
Mailing address
13734 W WINCH AVE, RATHDRUM, ID 83858-7621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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