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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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