National Provider Identifier Database

ANTLER AND MOSS COUNSELING LLC
Professional


Contact Information

ANTLER AND MOSS COUNSELING LLC
756 ASH ST
POCATELLO, ID83201-6104
Phone: 208-252-5087
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for ANTLER AND MOSS COUNSELING LLC

NPI Number 1013726579
Legal business name
LBN
ANTLER AND MOSS COUNSELING LLC
Authorized official JO ANNA SHOTIVEYARATANA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/30/2024
Last updated 12/30/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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