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THE GENSHAI TRAUMA RECOVERY CENTER NPI 1154893378


NPI Information

NPI: 1154893378
Provider Name: THE GENSHAI TRAUMA RECOVERY CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1820 E 17TH ST STE 190
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 244-4384
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THE GENSHAI TRAUMA RECOVERY CENTER is a mental health counselor in Idaho Falls, ID. THE GENSHAI TRAUMA RECOVERY CENTER NPI is 1154893378. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1820 E 17TH ST STE 190
IDAHO FALLS, ID
ZIP 83404-518
Phone: (208) 244-4384
Fax: (208) 549-9618

The provider's authorized official is Jenny Quiroz .
The authorized official title is Owner and has the following contact phone number (208) 406-6194.

The enumeration date for this NPI number is 12/28/2018 and was last updated on 12/28/2018.


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

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: 11/14/2023

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.