Beau Kolodzieczak, LPC

NPI 1255101929 · on the registry since 2024

Practice

Address: 148 S Cole Rd
Boise, ID 83709
Phone: (208) 683-8320
Organisation at this address: A Body & Mind Health Services, Llc
A Body & Mind Health Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 80

Additional practice sites

496 Shoup Ave W Ste F, Twin Falls, ID
411 Main Street Unit G, Kamiah, ID
509 Trolley Way, Middleton, ID
213 N Main St Ste 1b, Moscow, ID

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho