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Amy Herzog, LCSW
Developmentally Disabled Services Day Training Agency in Victor, Idaho
NPI 1861534133

Amy Herzog is a Developmentally Disabled Services Day Training Agency based in Victor, ID. Amy Herzog practices in Victor, ID and has the professional credentials of LCSW. The NPI Number for Amy Herzog is 1861534133 and holds a License No. (Idaho).

The current practice location address for Amy Herzog is 175 Brome Dr., Victor, ID and can be reached out via phone at 406-360-1631.

Location: 175 Brome Dr., Victor, ID, 83455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861534133
Provider Name
Amy Herzog
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
175 Brome Dr., Victor, ID, 83455
Phone Number
406-360-1631
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
175 Brome Dr.
City
Victor
State
Idaho
Zip
83455
Phone Number
406-360-1631
Fax Number
person
Provider Business Mailing Address Details
Address
175 Brome Dr.
City
Victor
State
Idaho
Zip
83455
Phone Number
406-360-1631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
(Wyoming)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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