Healthcare Provider Details

I. General information

NPI: 1275452765
Provider Name (Legal Business Name): FLOW OF LIFE EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 W OVERLAND RD STE 118
MERIDIAN ID
83642-6541
US

IV. Provider business mailing address

6299 N EAGLE RD # 1042
BOISE ID
83713-0955
US

V. Phone/Fax

Practice location:
  • Phone: 208-204-3932
  • Fax:
Mailing address:
  • Phone: 208-204-3932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KARISA SMITH
Title or Position: COUSELOR/ OWNER
Credential: LPC
Phone: 208-204-3932