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General NPI Number Information
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NPI Number | 1336030253
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Entity Type | Organization
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Legal Business Name | SOLACE PATH COUNSELING
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 500 E SHORE DR
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City | EAGLE
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State | ID
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Zip | 83616-6908
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Country | US
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Telephone | 208-366-4740
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Fax |
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Provider Business Mailing Address
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Address Line | 4622 W MARICOPA DR
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City | EAGLE
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State | ID
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Zip | 83616-4480
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Country | US
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Telephone | 208-366-4740
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | HEIDI A HUFFMAN
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Credential | LPC
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Telephone | 208-366-4740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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