Healthcare Provider Details

I. General information

NPI: 1013782408
Provider Name (Legal Business Name): ARROWLEAF COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 N ALLUMBAUGH ST STE 101
BOISE ID
83704-9219
US

IV. Provider business mailing address

413 N ALLUMBAUGH ST STE 101
BOISE ID
83704-9219
US

V. Phone/Fax

Practice location:
  • Phone: 208-954-5594
  • Fax: 208-954-5598
Mailing address:
  • Phone: 208-954-5594
  • Fax: 208-954-5598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHERI PETERSON
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 208-954-5594