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Eartherapy
Adolescent and Children Mental Health Clinic/Center in Idaho Falls, Idaho
NPI 1154639714

Eartherapy is an Adolescent and Children Mental Health Clinic/Center based in Idaho Falls, ID and is specialized in Adolescent and Children Mental Health. Eartherapy practices in Idaho Falls, ID. The NPI Number for Eartherapy is 1154639714 and holds a License No. LCPC-3187 (Idaho).

The current practice location address for Eartherapy is 354 W Sunnyside Rd, Idaho Falls, ID and can be reached out via phone at 208-528-6853 and via fax at 208-528-6888.

Location: 354 W Sunnyside Rd, Idaho Falls, ID, 83402-4644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154639714
Provider Name
Eartherapy
Credential
Provider Entity Type
Organization
Address
354 W Sunnyside Rd, Idaho Falls, ID, 83402-4644
Phone Number
208-528-6853
Fax Number
208-528-6888
Provider Enumeration Date
09/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
354 W Sunnyside Rd
City
Idaho Falls
State
Idaho
Zip
83402-4644
Phone Number
208-528-6853
Fax Number
208-528-6888
person
Provider Business Mailing Address Details
Address
354 W Sunnyside Rd
City
Idaho Falls
State
Idaho
Zip
83402-4644
Phone Number
208-528-6853
Fax Number
208-528-6888
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
LCPC-3187 (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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