ANTLER AND MOSS COUNSELING LLC; NPI #1013726579

Contact Information

ANTLER AND MOSS COUNSELING LLC

756 ASH ST
POCATELLO, ID 83201-6104

Phone: 208-252-5087
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for ANTLER AND MOSS COUNSELING LLC

NPI #	`1013726579`
LBN Legal business name	ANTLER AND MOSS COUNSELING LLC
Authorized official	JO ANNA SHOTIVEYARATANA - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/30/2024
Last updated	12/30/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ANTLER AND MOSS COUNSELING LLC

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Specialty

Professional

NPI Profile & details for ANTLER AND MOSS COUNSELING LLC

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