Provider Demographics
NPI:1225756760
Name:ABUNDANCE COUNSELING AND WELLNESS LLC
Entity Type:Organization
Organization Name:ABUNDANCE COUNSELING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER AND PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HEALD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-283-2527
Mailing Address - Street 1:4700 N CLOVERDALE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-1068
Mailing Address - Country:US
Mailing Address - Phone:208-283-2527
Mailing Address - Fax:208-550-3478
Practice Address - Street 1:4700 N CLOVERDALE RD STE 208
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-1068
Practice Address - Country:US
Practice Address - Phone:208-283-2527
Practice Address - Fax:208-550-3478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty