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NPI Code Detail

MEDICARE: FAMILY HARMONY, LLC

MEDICARE: FAMILY HARMONY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLCSW-29269ID

General Provider Information

NPI Number : 1588010615
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HARMONY, LLC
Provider Business Mailing Address
First Line : 2922 CLEVELAND BLVD
Second Line : SUITE 500
City : CALDWELL
State : ID
Zip : 83605-4436
Country : US
Telephone Number : 208-453-2728
Fax Number : 208-455-1474
Provider Business Practice Location Address
First Line : 2922 CLEVELAND BLVD
Second Line : SUITE 500
City : CALDWELL
State : ID
Zip : 83605-4436
Country : US
Telephone Number : 208-453-2728
Fax Number : 208-455-1474
Authorized Official
Title or Position : CEO/ CLINICAIN
Name : ELIZABETH MCDOUGALL
Credential : LCSW
Telephone Number : 208-453-2728
Provider Enumeration Date : 05/07/2016
Last Update Date : 05/07/2016

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Directions to “FAMILY HARMONY, LLC ” Practice Location

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