Organization · Type 2 NPI

Family Life Counseling Center LLC

Professional Counselor · Eagle, ID

NPI number 1154198786 Active

Practice location

1159 E Iron Eagle Dr Ste 170
Eagle, ID 83616-6870

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed

Professional Counselor: Definition to come...

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NPI record

NPI: 1154198786
Entity type: Organization (Type 2)
Issued: Dec 5, 2023
Last updated: Jan 16, 2024
Status: Active

Other names

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Family Life Counseling Center · doing business as
Family Life Counseling Center · doing business as

Authorized official

Shane Michael Duty, LCPC
President
(208) 407-8014

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About NPI 1154198786

Family Life Counseling Center LLC's National Provider Identifier is 1154198786, issued on Dec 5, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eagle, ID. The record was last updated on Jan 16, 2024.