River Wellness Center Pllc

LBN: River Wellness Center Pllc
River Wellness Center Pllc is an health care organization with primary practice located at 139 River Vista Pl Ste 106C , Twin Falls ID 83301-3060. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. River Wellness Center Pllc can be contacted via phone (208) 731-0664, or through Graham, Amber via phone (208) 731-2896.

Contact Information

Primary practice address
139 River Vista Pl Ste 106C Twin Falls ID 83301-3060
Phone: (208) 731-0664
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Amber Licensed Clinical Social Worker (LCSW)
Phone: (208) 731-2896

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1093332207
LBN Legal business name River Wellness Center Pllc
DBA Doing business as
Authorized official Graham, Amber Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2020
Last updated Jul 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093332207 NPPES
Idaho Other LCSW-39383 STATE LICENSE NUMBER

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