Active Pursuit Therapy LLC
Organization Active NPI Professional Counselor · Boise, ID
NPI 1154072023 · NPPES record last updated Feb 23, 2022
Key facts
- NPI
- 1154072023
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- ACTIVE PURSUIT THERAPY LLC
- Practice address
- 3350 W Americana Ter Ste 210B
Boise, ID 83706-2521 - Phone
- (208) 316-9381
- NPI assigned
- Jan 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Candace Renee Cooper, LCPC, NCC
- Title
- Professional Counselor
- Phone
- (208) 316-9381
Practitioners 1
-
Candace Cooper, LPC
National Provider Directory
Locations
2308 N Cole Rd
Ste C
Boise, ID 83704
Phone (208) 724-6891
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
3350 W Americana Ter Ste 210B
Boise, ID 83706-2521
Mailing address
10416 W Petearana St
Boise, ID 83704-1251
Phone (120) 831-6938
Other names
- Active Pursuit Therapy
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.