institution
Sullivan Mental Health Services Llc
Adolescent and Children Mental Health Clinic/Center in Idaho Falls, Idaho
NPI 1003101577

Sullivan Mental Health Services Llc is an Adolescent and Children Mental Health Clinic/Center based in Idaho Falls, ID and is specialized in Adolescent and Children Mental Health. Sullivan Mental Health Services Llc practices in Idaho Falls, ID. The NPI Number for Sullivan Mental Health Services Llc is 1003101577 and holds a License No. (Idaho).

The current practice location address for Sullivan Mental Health Services Llc is 660 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-523-1558 and via fax at 208-529-4788. You can also correspond with Sullivan Mental Health Services Llc through the mailing address at 660 S WOODRUFF AVE, IDAHO FALLS, ID - 83401-5299 (mailing address contact number: 208-523-1558).

Location: 660 S Woodruff Ave, Idaho Falls, ID, 83401-5299
institution
Provider Profile Details
NPI Number
1003101577
Provider Name
Sullivan Mental Health Services Llc
Credential
Provider Entity Type
Organization
Address
660 S Woodruff Ave, Idaho Falls, ID, 83401-5299
Phone Number
208-523-1558
Fax Number
208-529-4788
Provider Enumeration Date
06/13/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
660 S Woodruff Ave
City
State
Zip
83401-5299
Phone Number
208-523-1558
Fax Number
208-529-4788
person
Provider Business Mailing Address Details
Address
660 S Woodruff Ave
City
State
Zip
83401-5299
Phone Number
208-523-1558
Fax Number
208-529-4788
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
(Idaho)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
(Idaho)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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