Organization
HELPING HEARTS COUNSELING CENTER, PLLC
Active
Parent organization
MAIZE HOLDING COMPANY, LLC
Other names
Yolanda Ponder
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAIZE HOLDING COMPANY, LLC
Authorized official
MRS. YOLANDA AMBER PONDER LCSW (CEO, CLINICAL DIRECTOR/THERAPIST)
(208) 954-0597
Entity
Organization
Contact information
Practice address
310 CLEVELAND BLVD, CALDWELL, ID 83605-3624
(120) 895-4059
Mailing address
310 CLEVELAND BLVD # 310, CALDWELL, ID 83605-3624
(208) 954-0597
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20015619
—
ID
01
—
L8067
BLUE CROSS OF IDAHO
IL
Enumeration date
10/12/2020
Last updated
10/12/2020
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