Organization
CONNECTIONS OF HOPE AND HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN R PORTER LCSW (OWNER)
(208) 346-2363
Entity
Organization
Contact information
Practice address
2296 N YELLOWSTONE HWY # 306, IDAHO FALLS, ID 83401-1625
(208) 346-2363
(208) 258-7127
Mailing address
2296 N YELLOWSTONE HWY # 306, IDAHO FALLS, ID 83401-1625
(208) 346-2363
(208) 258-7127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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