Organization
WELLSPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. APRIL V ROSE PSYD (MEMBER)
(208) 918-2588
Entity
Organization
Contact information
Practice address
1523 E BOISE AVE, BOISE, ID 83706-5064
(208) 918-2588
Mailing address
6568 S FEDERAL WAY STE 241, BOISE, ID 83716-9277
(208) 918-2588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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