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State Of Mind Counseling And Wellness Center
Adolescent and Children Mental Health Clinic/Center in Eagle, Idaho
NPI 1013277128

State Of Mind Counseling And Wellness Center is an Adolescent and Children Mental Health Clinic/Center based in Eagle, ID and is specialized in Adolescent and Children Mental Health. State Of Mind Counseling And Wellness Center practices in Eagle, ID. The NPI Number for State Of Mind Counseling And Wellness Center is 1013277128 and holds a License No. 4841 (Idaho).

The current practice location address for State Of Mind Counseling And Wellness Center is 141 N Palmetto Ave Unit 1626, Eagle, ID and can be reached out via phone at 208-939-3999. You can also correspond with State Of Mind Counseling And Wellness Center through the mailing address at 233 W STATE ST STE D, EAGLE, ID - 83616-4982 (mailing address contact number: ).

Location: 141 N Palmetto Ave Unit 1626, Eagle, ID, 83616-4982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013277128
Provider Name
State Of Mind Counseling And Wellness Center
Credential
Provider Entity Type
Organization
Address
141 N Palmetto Ave Unit 1626, Eagle, ID, 83616-4982
Phone Number
208-939-3999
Fax Number
Provider Enumeration Date
05/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
141 N Palmetto Ave Unit 1626
City
Eagle
State
Idaho
Zip
83616-8066
Phone Number
208-939-3999
Fax Number
person
Provider Business Mailing Address Details
Address
233 W State St Ste D
City
Eagle
State
Idaho
Zip
83616-4982
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
4841 (Idaho)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
4841 (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 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
4841 (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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