LIFESTYLE CHANGES COUNSELING


Address: 371 Locust St S, Twin Falls, ID 83301-7837
Phone: 2087345230

LIFESTYLE CHANGES COUNSELING (NPI# 1912335217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912335217
Entity Type Organization
Organization Name LIFESTYLE CHANGES COUNSELING
Practice Address 371 Locust St S
Twin Falls
ID 83301-7837
Practice Telephone 2087345230
Mailing Telephone 2087345230
Enumeration Date 2013-10-23
Last Update Date 2013-10-23
Authorized Official Name MR. WILLIAM L VIRTUE SR. (OWNER)
Authorized Official Telephone 12087345230
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
ID Ambulatory Health Care Facilities

Office Location

Street Address 371 LOCUST ST S
City TWIN FALLS
State ID
Zip Code 83301-7837

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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Competitor

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City TWIN FALLS
Zip Code 83301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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