Healthcare Provider Details

I. General information

NPI: 1346178571
Provider Name (Legal Business Name): THE HUMAN CONDITION COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 N 6TH ST STE 40
BOISE ID
83702-6092
US

IV. Provider business mailing address

223 N 6TH ST STE 40
BOISE ID
83702-6092
US

V. Phone/Fax

Practice location:
  • Phone: 208-901-8624
  • Fax:
Mailing address:
  • Phone: 208-901-8624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JODIE DZAICH POUNDERS
Title or Position: COUNSELOR
Credential: LPC
Phone: 208-901-8624