Organization
A BODY & MIND HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COOPER (OWNER AND PRESIDENT)
(208) 683-8320
Entity
Organization
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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