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Stillwater Connection
Adolescent and Children Mental Health Clinic/Center in Middleton, Idaho
NPI 1457867962

Stillwater Connection is an Adolescent and Children Mental Health Clinic/Center based in Middleton, ID and is specialized in Adolescent and Children Mental Health. Stillwater Connection practices in Middleton, ID. The NPI Number for Stillwater Connection is 1457867962 and holds a License No. (Idaho).

The current practice location address for Stillwater Connection is 22480 Duff Ln, Middleton, ID and can be reached out via phone at 208-965-4502 and via fax at 208-505-4280. You can also correspond with Stillwater Connection through the mailing address at 22480 DUFF LN, MIDDLETON, ID - 83644-6041 (mailing address contact number: 208-965-4502).

Location: 22480 Duff Ln, Middleton, ID, 83644-6041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457867962
Provider Name
Stillwater Connection
Credential
Provider Entity Type
Organization
Address
22480 Duff Ln, Middleton, ID, 83644-6041
Phone Number
208-965-4502
Fax Number
208-505-4280
Provider Enumeration Date
12/19/2017
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457867962 05 ID
institution
Provider Business Practice Location Address Details
Address
22480 Duff Ln
City
Middleton
State
Idaho
Zip
83644-6041
Phone Number
208-965-4502
Fax Number
208-505-4280
person
Provider Business Mailing Address Details
Address
22480 Duff Ln
City
Middleton
State
Idaho
Zip
83644-6041
Phone Number
208-965-4502
Fax Number
208-505-4280
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
LPC6027 (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 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
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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