Counseling & Treatment Center Of Idaho, Llc
LBN: Counseling & Treatment Center Of Idaho, Llc
Counseling & Treatment Center Of Idaho, Llc is an health care organization with primary practice located at 859 S Yellowstone Hwy Ste 302 , Rexburg ID 83440-5294. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Counseling & Treatment Center Of Idaho, Llc can be contacted via phone (208) 932-5363, or through Finch, Deborah via phone (801) 857-9136.
Contact Information
Primary practice address
859 S Yellowstone Hwy Ste 302
Rexburg ID 83440-5294
Phone: (208) 932-5363
Fax: (205) 273-8403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1093354318 |
|---|---|
| LBN Legal business name | Counseling & Treatment Center Of Idaho, Llc |
| DBA Doing business as | |
| Authorized official | Finch, Deborah |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 3rd, 2020 |
| Last updated | Oct 23rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093354318 | NPPES |
| Idaho | MEDICAID | IDTPID012974 |
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