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Defunkify Counseling & Consultation, Llc
Adolescent and Children Mental Health Clinic/Center in Meridian, Idaho
NPI 1306411376

Defunkify Counseling & Consultation, Llc is an Adolescent and Children Mental Health Clinic/Center based in Meridian, ID and is specialized in Adolescent and Children Mental Health. Defunkify Counseling & Consultation, Llc practices in Meridian, ID. The NPI Number for Defunkify Counseling & Consultation, Llc is 1306411376 and holds a License No. (Idaho).

The current practice location address for Defunkify Counseling & Consultation, Llc is 3484 N Bryce Canyon Pl, Meridian, ID and can be reached out via phone at 208-971-1054. You can also correspond with Defunkify Counseling & Consultation, Llc through the mailing address at 3484 N BRYCE CANYON PL, MERIDIAN, ID - 83646-6061 (mailing address contact number: ).

Location: 3484 N Bryce Canyon Pl, Meridian, ID, 83646-6061
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306411376
Provider Name
Defunkify Counseling & Consultation, Llc
Credential
Provider Entity Type
Organization
Address
3484 N Bryce Canyon Pl, Meridian, ID, 83646-6061
Phone Number
208-971-1054
Fax Number
Provider Enumeration Date
05/23/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3484 N Bryce Canyon Pl
City
Meridian
State
Idaho
Zip
83646-6061
Phone Number
208-971-1054
Fax Number
person
Provider Business Mailing Address Details
Address
3484 N Bryce Canyon Pl
City
Meridian
State
Idaho
Zip
83646-6061
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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