Provider Demographics
NPI:1114618774
Name:THE FLAME OF HOPE ART THERAPY & COUNSELING
Entity Type:Organization
Organization Name:THE FLAME OF HOPE ART THERAPY & COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIANNA
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:BOWYER ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:ATR, LPCC, LCPC
Authorized Official - Phone:986-895-3122
Mailing Address - Street 1:2512 N STOKESBERRY PL STE 101
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-1135
Mailing Address - Country:US
Mailing Address - Phone:986-895-3122
Mailing Address - Fax:
Practice Address - Street 1:136 S ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-6541
Practice Address - Country:US
Practice Address - Phone:801-787-4608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)