Healthcare Provider Details

I. General information

NPI: 1003693904
Provider Name (Legal Business Name): CONNECTIONS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2023
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3207 E USTICK RD
CALDWELL ID
83605-6523
US

IV. Provider business mailing address

17888 MUD SPRINGS AVE
NAMPA ID
83687-5239
US

V. Phone/Fax

Practice location:
  • Phone: 208-585-4333
  • Fax:
Mailing address:
  • Phone: 208-585-4333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: HEATHER ALLUM
Title or Position: OWNER
Credential:
Phone: 208-585-4333