ECETERA THERAPY CLINIC NPI 1730886003

NPI Information

  • NPI: 1730886003
  • Provider Name: ECETERA THERAPY CLINIC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1070 RIVERWALK DR
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 314-3731

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NPI Details

ECETERA THERAPY CLINIC is a mental health counselor in Idaho Falls, ID. ECETERA THERAPY CLINIC NPI is 1730886003. The provider is registered as an organization entity type.

The provider's business location address is:

1070 RIVERWALK DR
IDAHO FALLS, ID
ZIP 83402-341
Phone: (208) 314-3731

The provider's authorized official is Heidi R Maurer .
The authorized official title is Owner and has the following contact phone number (208) 709-9215.

The enumeration date for this NPI number is 2/8/2023 and was last updated on 2/15/2023.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2101YM0800XCounselorMental 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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