=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750290813
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LION'S WAY COUNSELING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/03/2026
-----------------------------------------------------
Last Update Date | 09/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1003 12TH AVE S
-----------------------------------------------------
City | NAMPA
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83651-4660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 208-254-0301
-----------------------------------------------------
Fax | 208-254-0301
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23258 HARTLEY LN
-----------------------------------------------------
City | MIDDLETON
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83644-5108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 208-254-0301
-----------------------------------------------------
Fax | 208-254-0301
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICIAN
-----------------------------------------------------
Name | SARA JANE WINKELMAN
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 208-254-0301
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------