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NPI Code Detail

MEDICARE: KINDLING THERAPY CO. LLC

MEDICARE: KINDLING THERAPY CO. LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1477441574
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDLING THERAPY CO. LLC
Provider Business Mailing Address
First Line : 1065 E WINDING CREEK DR STE 250
Second Line :
City : EAGLE
State : ID
Zip : 83616-7246
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1065 E WINDING CREEK DR STE 250
Second Line :
City : EAGLE
State : ID
Zip : 83616-7246
Country : US
Telephone Number : 208-505-9588
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. LINDSAY SOLFELT
Credential : PSYD
Telephone Number : 208-505-9588
Provider Enumeration Date : 06/26/2025
Last Update Date : 06/26/2025

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