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BEHAVIORAL TREATMENT CENTER LLC NPI 1366519761


NPI Information

NPI: 1366519761
Provider Name: BEHAVIORAL TREATMENT CENTER, LLC

Former Legal Business Name: BEHAVIORAL TREATMENT SERVICES LLC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
210 E CENTER ST
SUITE B
POCATELLO, ID
ZIP 83201
Phone: (208) 234-2600
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BEHAVIORAL TREATMENT CENTER, LLC is a mental health counselor in Pocatello, ID. BEHAVIORAL TREATMENT CENTER, LLC NPI is 1366519761. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Behavioral Treatment Services Llc.

The provider's business location address is:

210 E CENTER ST
SUITE B
POCATELLO, ID
ZIP 83201-326
Phone: (208) 234-2600
Fax: (208) 234-2800

The provider's authorized official is Terri L Muegerl .
The authorized official title is Owner and has the following contact phone number (208) 234-2600.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1806902500MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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