Healthcare Provider Details

I. General information

NPI: 1912864737
Provider Name (Legal Business Name): BOISE COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 W AMERICANA TER # 210B
BOISE ID
83706-2521
US

IV. Provider business mailing address

3052 E SHADOWCREST DR
EAGLE ID
83616-5767
US

V. Phone/Fax

Practice location:
  • Phone: 208-991-7975
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NATALIE SCHILLING
Title or Position: OWNER
Credential: LCSW
Phone: 208-991-7975