ROSE CENTER FOR HEALING NPI 1598515009

NPI Information

  • NPI: 1598515009
  • Provider Name: ROSE CENTER FOR HEALING
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 611 WILSON AVE STE 6A
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 254-5099

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NPI Details

ROSE CENTER FOR HEALING is an adolescent and children mental health clinic center in Pocatello, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. ROSE CENTER FOR HEALING NPI is 1598515009. The provider is registered as an organization entity type.

The provider's business location address is:

611 WILSON AVE STE 6A
POCATELLO, ID
ZIP 83201-046
Phone: (208) 254-5099
Fax: (208) 254-4180

The provider's authorized official is Paisley Rose Cummings .
The authorized official title is Owner/clinical Director and has the following contact phone number (208) 417-2218.

The enumeration date for this NPI number is 3/26/2024 and was last updated on 10/26/2024.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental 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: 11/21/2025

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