Healthcare Provider Details

I. General information

NPI: 1952237224
Provider Name (Legal Business Name): SAGE AND STONE COUNSELING AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5298 S MEMORY AVE
MERIDIAN ID
83642-1535
US

IV. Provider business mailing address

5298 S MEMORY AVE
MERIDIAN ID
83642-1535
US

V. Phone/Fax

Practice location:
  • Phone: 208-314-2345
  • Fax:
Mailing address:
  • Phone: 208-314-2345
  • 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: KRISTI MUELLER
Title or Position: OWNER
Credential: LCSW
Phone: 208-314-2345