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NPI Code Detail

MEDICARE: EVER FORWARD COUNSELING X NEUROFEEDBACK

MEDICARE: EVER FORWARD COUNSELING X NEUROFEEDBACK
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1609676444
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVER FORWARD COUNSELING X NEUROFEEDBACK
Provider Business Mailing Address
First Line : 1912 W HENDRICKS CT
Second Line :
City : MERIDIAN
State : ID
Zip : 83646-1335
Country : US
Telephone Number : 208-861-2008
Fax Number :
Provider Business Practice Location Address
First Line : 6001 W STATE ST STE D
Second Line :
City : BOISE
State : ID
Zip : 83703-6428
Country : US
Telephone Number : 208-398-3431
Fax Number :
Authorized Official
Title or Position : CEO, COUNSELOR
Name : MONIQUE BARBER
Credential : PHD
Telephone Number : 208-861-2008
Provider Enumeration Date : 03/18/2025
Last Update Date : 03/18/2025

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Directions to “EVER FORWARD COUNSELING X NEUROFEEDBACK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.