Mental Wellness Centers, Inc

LBN: Mental Wellness Centers, Inc
Mental Wellness Centers, Inc is an health care organization with primary practice located at 2420 E 25Th St , Idaho Falls ID 83404-7549. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mental Wellness Centers, Inc can be contacted via phone (208) 542-1026, or through Pettingill, Eric via phone (208) 542-1026.

Contact Information

Primary practice address
2420 E 25Th St Idaho Falls ID 83404-7549
Phone: (208) 542-1026
Fax: (208) 528-2945
Website:
Map and Directions
Authorized official contact:
Name: Pettingill, Eric LCPC
Phone: (208) 542-1026

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Idaho

Profile Details

NPI number 1871632786
LBN Legal business name Mental Wellness Centers, Inc
DBA Doing business as
Authorized official Pettingill, Eric LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Jan 9th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871632786 NPPES
Idaho Other 20000645 MEDICARE PTAN
Idaho MEDICAID 806579600 MEDICARE PTAN

Popular Providers