Organization
TRANSFORMATIONS MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY HOWARD LCSW (OWNER)
(208) 682-0572
Entity
Organization
Contact information
Practice address
9751 N GOVERNMENT WAY STE 4, HAYDEN, ID 83835-9645
(208) 682-0572
Mailing address
9751 N GOVERNMENT WAY STE 4, HAYDEN, ID 83835-9645
(208) 682-0572
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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