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General NPI Number Information
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NPI Number | 1750927372
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Entity Type | Organization
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Legal Business Name | RESTORING HOPE - HEALING FROM TRAUMA AND ADDICTION
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1407 W MCMILLAN RD STE 120
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City | MERIDIAN
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State | ID
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Zip | 83646-5168
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Country | US
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Telephone | 208-315-6717
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Fax | 208-315-6718
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Provider Business Mailing Address
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Address Line | PO BOX 1662
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City | MERIDIAN
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State | ID
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Zip | 83680-1662
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Country | US
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Telephone | 208-571-8459
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Fax | 208-315-6718
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Authorized Official
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Title or Position | FINANCIAL DIRECTOR
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Name | DENISE LEREIGH WHITEMAN
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Credential | MBA
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Telephone | 208-571-8459
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 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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