Organization · Type 2 NPI

Luminous Wisdom Sandplay Therapy and Counseling PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Idaho Falls, ID

NPI number 1508636770 Active

Practice location

250 S Skyline Dr Ste 3
Idaho Falls, ID 83402-3294

Call (208) 243-9152 Map

Fax (888) 240-1846

Mailing address

2235 E 25th St Ste 140
Idaho Falls, ID 83404-8090

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1508636770

Luminous Wisdom Sandplay Therapy and Counseling PLLC's National Provider Identifier is 1508636770, issued on Jan 8, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 1, 2024.