HEALTHY PLACE COUNSELING POCATELLO LLC NPI 1154464394

NPI Information

HEALTHY PLACE COUNSELING POCATELLO LLC is a counselor in Pocatello, ID. The provider is 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. HEALTHY PLACE COUNSELING POCATELLO LLC NPI is 1154464394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1023 YELLOWSTONE AVE
STE. J
POCATELLO, ID
ZIP 83201-478
Phone: (208) 233-1276
Fax: (208) 233-0835

The provider's authorized official is Kirk Korenke .
The authorized official title is Owner and has the following contact phone number (208) 200-4818.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 2/26/2016.

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:

Other Identifiers

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

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.