Organization
LIFEPATH SERVICES LLC
Active
Other names
Lifepath Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANEY MARIE GILES PS (DIRECTOR/OWNER)
(208) 780-3900
Entity
Organization
Contact information
Practice address
10112 W OVERLAND RD, BOISE, ID 83709-1428
(208) 780-3900
Mailing address
10112 W OVERLAND RD, BOISE, ID 83709-1428
(208) 780-3900
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477920270
—
ID
Enumeration date
10/14/2021
Last updated
10/14/2021
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