Organization
ADOLPHO ENTERPRISE LLC.
Active
Parent organization
ADOLPHO ENTERPRISE LLC.
Other names
ONE LOVE AGENCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADOLPHO ENTERPRISE LLC.
Authorized official
RICK ADOLPHO BS, MBA, PSR (OWNER)
(435) 553-9822
Entity
Organization
Contact information
Practice address
3649 N LAKEHARBOR LN, BOISE, ID 83703-6913
(435) 553-9822
(208) 853-5377
Mailing address
3649 N LAKEHARBOR LN, BOISE, ID 83703-6913
(435) 553-9822
(208) 853-5377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932454642
—
ID
Enumeration date
07/18/2012
Last updated
05/23/2024
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