| NPI | 1912660168 |
|---|---|
| Doing Business As | LIFEPATH COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TIFFANEY MARIE GILES Director/Owner 208-780-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |