Huckleberry Therapy Llc
LBN: Huckleberry Therapy Llc
Huckleberry Therapy Llc is an health care organization with primary practice located at 6101 E Highway 54 Ste A, Athol ID 83801-6085. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Hearing and Speech. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty.
Huckleberry Therapy Llc can be contacted via phone (208) 994-3757, or through Desimone, Sarah Nicole via phone (208) 994-3757.
Contact Information
Primary practice address
6101 E Highway 54 Ste A
Athol ID 83801-6085
Phone: (208) 994-3757
Fax: (208) 352-3921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X |
Profile Details
| NPI number | 1720753460 |
|---|---|
| LBN Legal business name | Huckleberry Therapy Llc |
| DBA Doing business as | |
| Authorized official | Desimone, Sarah Nicole MS, CCC-SLP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2021 |
| Last updated | Aug 13th, 2021 - about 3 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 | 1720753460 | NPPES |
| Idaho | MEDICAID | 016962 |
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