Healthcare Provider Details

I. General information

NPI: 1265341192
Provider Name (Legal Business Name): THREE HEARTS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3758 E AMITY AVE STE 101
NAMPA ID
83687-1217
US

IV. Provider business mailing address

3758 E AMITY AVE STE 101
NAMPA ID
83687-1217
US

V. Phone/Fax

Practice location:
  • Phone: 208-546-9833
  • Fax:
Mailing address:
  • Phone: 208-546-9833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. JENNIFER CLURE
Title or Position: LICENSED CLINICAL THERAPIST
Credential: LCSW
Phone: 208-546-9833