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General NPI Number Information
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NPI Number | 1114389517
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Entity Type | Organization
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Legal Business Name | ASPEN MINISTRIES SYRINGA WELLNESS
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1609 S KIMBALL AVE STE 200
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City | CALDWELL
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State | ID
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Zip | 83605-5196
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Country | US
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Telephone | 208-899-8101
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Fax | 208-899-8096
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Provider Business Mailing Address
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Address Line | 1609 S KIMBALL AVE STE 200
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City | CALDWELL
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State | ID
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Zip | 83605-5196
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Country | US
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Telephone | 208-899-8101
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Fax | 208-899-8096
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Authorized Official
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Title or Position | OWNER/OVERSEER
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Name | ASPEN MORROW
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Credential |
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Telephone | 208-870-9238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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