BANNOCK COUNTY FAMILY TREATMENT CENTER NPI 1427437383

NPI Information

NPI: 1427437383
Provider Name: BANNOCK COUNTY FAMILY TREATMENT CENTER
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
141 N 6TH AVE
POCATELLO, ID
ZIP 83201
Phone: (208) 236-7089
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BANNOCK COUNTY FAMILY TREATMENT CENTER is an addiction (substance use disorder) counselor in Pocatello, ID. BANNOCK COUNTY FAMILY TREATMENT CENTER NPI is 1427437383. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

141 N 6TH AVE
POCATELLO, ID
ZIP 83201-209
Phone: (208) 236-7089
Fax: (208) 236-7097

The provider's authorized official is Kimberly Jo Andrew .
The authorized official title is Clinical Director and has the following contact phone number (208) 236-7089.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 5/26/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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

NPI Synchronization or Removal

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