Mountain Laurel Therapy Llc
LBN: Mountain Laurel Therapy Llc
Mountain Laurel Therapy Llc is an health care organization with primary practice located at 133 Main Ave W Suite 300, Twin Falls ID 83301. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Mountain Laurel Therapy Llc can be contacted via phone (910) 308-6764, or through Overacre, Amanda Lynn via phone (910) 308-6764.
Contact Information
Primary practice address
133 Main Ave W Suite 300
Twin Falls ID 83301
Phone: (910) 308-6764
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1548001522 |
|---|---|
| LBN Legal business name | Mountain Laurel Therapy Llc |
| DBA Doing business as | |
| Authorized official | Overacre, Amanda Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2024 |
| Last updated | Jun 4th, 2024 - about 5 months 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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