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Integrated Counseling And Wellness Of Rexburg
Adolescent and Children Mental Health Clinic/Center in Rexburg, Idaho
NPI 1801274790

Integrated Counseling And Wellness Of Rexburg is an Adolescent and Children Mental Health Clinic/Center based in Rexburg, ID and is specialized in Adolescent and Children Mental Health. Integrated Counseling And Wellness Of Rexburg practices in Rexburg, ID. The NPI Number for Integrated Counseling And Wellness Of Rexburg is 1801274790 and holds a License No. (Idaho).

The current practice location address for Integrated Counseling And Wellness Of Rexburg is 101 E Main St Ste 210, Rexburg, ID and can be reached out via phone at 208-357-3104 and via fax at 888-990-2826.

Location: 101 E Main St Ste 210, Rexburg, ID, 83440-2017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801274790
Provider Name
Integrated Counseling And Wellness Of Rexburg
Credential
Provider Entity Type
Organization
Address
101 E Main St Ste 210, Rexburg, ID, 83440-2017
Phone Number
208-357-3104
Fax Number
888-990-2826
Provider Enumeration Date
05/11/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
101 E Main St Ste 210
City
Rexburg
State
Idaho
Zip
83440-2017
Phone Number
208-357-3104
Fax Number
888-990-2826
person
Provider Business Mailing Address Details
Address
101 E Main St Ste 210
City
Rexburg
State
Idaho
Zip
83440-2017
Phone Number
208-357-3104
Fax Number
888-990-2826
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
5636 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
5636 (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.
()
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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