MEDICARE: LIFE MATTERS; IF NOT NOW, WHEN 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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1932821899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE MATTERS; IF NOT NOW, WHEN LLC

Provider Business Mailing Address
First Line	:	PO BOX 192
Second Line	:
City	:	POLLOCK
State	:	ID
Zip	:	83547-0192
Country	:	US
Telephone Number	:	208-315-0993
Fax Number	:

Provider Business Practice Location Address
First Line	:	248 OLD POLLOCK RD
Second Line	:
City	:	POLLOCK
State	:	ID
Zip	:	83547
Country	:	US
Telephone Number	:	208-315-0993
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HEIDY MEAD
Credential	:	LPC, M ED
Telephone Number	:	208-315-0993

Provider Enumeration Date	:	09/16/2022
Last Update Date	:	11/03/2022

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Directions to “LIFE MATTERS; IF NOT NOW, WHEN LLC ” Practice Location

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