Healthcare Provider Details

I. General information

NPI: 1538824826
Provider Name (Legal Business Name): PSALMS OF HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 01/29/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4666 W SAN SALVO DR
MERIDIAN ID
83646-5019
US

IV. Provider business mailing address

4666 W SAN SALVO DR
MERIDIAN ID
83646-5019
US

V. Phone/Fax

Practice location:
  • Phone: 986-229-3936
  • Fax: 208-593-3754
Mailing address:
  • Phone: 619-884-3209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: CALEB ABRAMS
Title or Position: CO-OWNER
Credential: LMFT
Phone: 986-229-3936