institution
Counseling & Treatment Center Of Idaho, Llc
Adolescent and Children Mental Health Clinic/Center in Rexburg, Idaho
NPI 1093354318

Counseling & Treatment Center Of Idaho, Llc is an Adolescent and Children Mental Health Clinic/Center based in Rexburg, ID and is specialized in Adolescent and Children Mental Health. Counseling & Treatment Center Of Idaho, Llc practices in Rexburg, ID. The NPI Number for Counseling & Treatment Center Of Idaho, Llc is 1093354318 and holds a License No. (Idaho).

The current practice location address for Counseling & Treatment Center Of Idaho, Llc is 859 S Yellowstone Hwy Ste 302, Rexburg, ID and can be reached out via phone at 208-932-5363 and via fax at 205-273-8403. You can also correspond with Counseling & Treatment Center Of Idaho, Llc through the mailing address at 859 S YELLOWSTONE HWY STE 302, REXBURG, ID - 83440-5294 (mailing address contact number: 208-932-5363).

Location: 859 S Yellowstone Hwy Ste 302, Rexburg, ID, 83440-5294
institution
Provider Profile Details
NPI Number
1093354318
Provider Name
Counseling & Treatment Center Of Idaho, Llc
Credential
Provider Entity Type
Organization
Address
859 S Yellowstone Hwy Ste 302, Rexburg, ID, 83440-5294
Phone Number
208-932-5363
Fax Number
205-273-8403
Provider Enumeration Date
01/03/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IDTPID012974 05 ID
institution
Provider Business Practice Location Address Details
Address
859 S Yellowstone Hwy Ste 302
City
State
Zip
83440-5294
Phone Number
208-932-5363
Fax Number
205-273-8403
person
Provider Business Mailing Address Details
Address
859 S Yellowstone Hwy Ste 302
City
State
Zip
83440-5294
Phone Number
208-932-5363
Fax Number
205-273-8403
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
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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