Provider Demographics
NPI:1184326142
Name:AMBERS HOUSE OF INTEGRATIVE THERAPY FOR ALL AGES
Entity type:Organization
Organization Name:AMBERS HOUSE OF INTEGRATIVE THERAPY FOR ALL AGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HOID
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-867-3288
Mailing Address - Street 1:10177 W CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5319
Mailing Address - Country:US
Mailing Address - Phone:208-867-3288
Mailing Address - Fax:888-730-6010
Practice Address - Street 1:4090 W STATE ST STE 103
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83703-4450
Practice Address - Country:US
Practice Address - Phone:208-867-3288
Practice Address - Fax:888-730-6010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty