Healthcare Provider Details

I. General information

NPI: 1487230868
Provider Name (Legal Business Name): VISIONS COUNSELING & EDUCATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 11/12/2021
Certification Date: 11/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9490 W FAIRVIEW AVE
BOISE ID
83704-8101
US

IV. Provider business mailing address

2792 W TANGO CREEK DR
MERIDIAN ID
83646-5998
US

V. Phone/Fax

Practice location:
  • Phone: 208-486-0556
  • Fax: 208-216-0188
Mailing address:
  • Phone: 208-420-3018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: FELICA J DUCE
Title or Position: CO-OWNER
Credential: LPC
Phone: 208-420-3018