Organization · Type 2 NPI
Boise Experiential Therapy Collective
Professional Counselor · Garden City, ID
NPI number
1114883675
Active
Practice location
112 E 33rd St
Garden City, ID 83714-1330
Mailing address
517 N Archer St
Boise, ID 83706-1903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1114883675
Boise Experiential Therapy Collective's National Provider Identifier is 1114883675, issued on Dec 29, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Garden City, ID. The record was last updated on Dec 29, 2025.