Healthcare Provider Details

I. General information

NPI: 1952148058
Provider Name (Legal Business Name): HIGH VALLEY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 S ROBERT ST STE 100
BOISE ID
83705-5194
US

IV. Provider business mailing address

3293 E PLYMPTON DR
MERIDIAN ID
83642-9019
US

V. Phone/Fax

Practice location:
  • Phone: 208-941-5435
  • Fax:
Mailing address:
  • Phone: 208-890-2643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE TOLMAN
Title or Position: OWNER
Credential: LCPC
Phone: 208-890-2643