Angel Wings Center Of Healing

LBN: Angel Wings Center Of Healing
Angel Wings Center Of Healing is an health care organization with primary practice located at 808 Pancheri Dr. , Idaho Falls ID 83402. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Angel Wings Center Of Healing can be contacted via phone (208) 757-0330, or through Page, Bobette Renee via phone (208) 552-6900.

Contact Information

Primary practice address
808 Pancheri Dr. Idaho Falls ID 83402
Phone: (208) 757-0330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Page, Bobette Renee Licensed Clinical Social Worker (LCSW)
Phone: (208) 552-6900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-27373 Idaho

Profile Details

NPI number 1215159819
LBN Legal business name Angel Wings Center Of Healing
DBA Doing business as
Authorized official Page, Bobette Renee Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215159819 NPPES
Idaho Other 2257711 CIGNA BEHAVIORAL HEALTH

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