Provider Demographics
NPI:1861229825
Name:ALPINE BREEZE COUNSELING, LLC
Entity type:Organization
Organization Name:ALPINE BREEZE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHIANNON
Authorized Official - Middle Name:BREEZE
Authorized Official - Last Name:STURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:208-398-0676
Mailing Address - Street 1:202 N 9TH ST
Mailing Address - Street 2:STE 303B
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702
Mailing Address - Country:US
Mailing Address - Phone:208-398-0676
Mailing Address - Fax:208-370-0722
Practice Address - Street 1:202 NORTH 9TH STREET
Practice Address - Street 2:STE 303B
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702
Practice Address - Country:US
Practice Address - Phone:208-398-0676
Practice Address - Fax:208-370-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty