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INTEGRATED COUNSELING AND WELLNESS EATING DISORDER CENTER OF REXBURG NPI 1881353175


NPI Information

NPI: 1881353175
Provider Name: INTEGRATED COUNSELING AND WELLNESS EATING DISORDER CENTER OF REXBURG

Doing Business As: REXBURG EATING DISORDER CENTER

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
101 E MAIN ST STE 211
REXBURG, ID
ZIP 83440
Phone: (208) 357-3104
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INTEGRATED COUNSELING AND WELLNESS EATING DISORDER CENTER OF REXBURG is a professional counselor in Rexburg, ID. INTEGRATED COUNSELING AND WELLNESS EATING DISORDER CENTER OF REXBURG NPI is 1881353175. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rexburg Eating Disorder Center.

The provider's business location address is:

101 E MAIN ST STE 211
REXBURG, ID
ZIP 83440-017
Phone: (208) 357-3104

The provider's authorized official is Luke Scott Einerson .
The authorized official title is Owner and has the following contact phone number (208) 403-1826.

The enumeration date for this NPI number is 12/14/2021 and was last updated on 9/20/2022.


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 HealthNo
2103TP2701XPsychologistGroup PsychotherapyNo
3104100000XSocial WorkerNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5101YP2500XCounselorProfessionalYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.