Provider Demographics
NPI:1083246904
Name:THE COUNSELING CENTER AT TREE CITY, INC.
Entity Type:Organization
Organization Name:THE COUNSELING CENTER AT TREE CITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHECKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:208-378-0014
Mailing Address - Street 1:3852 N EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-0750
Mailing Address - Country:US
Mailing Address - Phone:208-378-0014
Mailing Address - Fax:208-378-7342
Practice Address - Street 1:3852 N EAGLE RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-0750
Practice Address - Country:US
Practice Address - Phone:208-378-0014
Practice Address - Fax:208-378-7342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-08
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)