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Canvi Behavioral Health Pllc
Psychiatric/Mental Health Nurse Practitioner in Chubbuck, Idaho
NPI 1144984873

Canvi Behavioral Health Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Pocatello, ID and is specialized in Psychiatric/Mental Health. Canvi Behavioral Health Pllc practices in Chubbuck, ID. The NPI Number for Canvi Behavioral Health Pllc is 1144984873 and holds a License No. (Idaho).

The current practice location address for Canvi Behavioral Health Pllc is 4650 Hawthorne Rd Ste 3B, Chubbuck, ID and can be reached out via phone at 208-252-5621 and via fax at 208-648-4167. You can also correspond with Canvi Behavioral Health Pllc through the mailing address at PO BOX 2516, POCATELLO, ID - 83206-2516 (mailing address contact number: 208-380-4978).

Location: 4650 Hawthorne Rd Ste 3B, Chubbuck, ID, 83206-2516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144984873
Provider Name
Canvi Behavioral Health Pllc
Credential
Provider Entity Type
Organization
Address
4650 Hawthorne Rd Ste 3B, Chubbuck, ID, 83206-2516
Phone Number
208-252-5621
Fax Number
208-648-4167
Provider Enumeration Date
10/28/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4650 Hawthorne Rd Ste 3B
City
Chubbuck
State
Idaho
Zip
83202-2376
Phone Number
208-252-5621
Fax Number
208-648-4167
person
Provider Business Mailing Address Details
Address
Po Box 2516
City
Pocatello
State
Idaho
Zip
83206-2516
Phone Number
208-380-4978
Fax Number
208-648-4063
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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