INTEGRATED COUNSELING AND WELLNESS OF REXBURG NPI 1801274790

NPI Information

NPI: 1801274790
Provider Name: INTEGRATED COUNSELING AND WELLNESS OF REXBURG

Doing Business As: INTEGRATED COUNSELING AND WELLNESS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
101 E MAIN ST STE 210
REXBURG, ID
ZIP 83440
Phone: (208) 357-3104
Get Directions

INTEGRATED COUNSELING AND WELLNESS OF REXBURG is a mental health (including community mental health center) clinic center in Rexburg, ID. INTEGRATED COUNSELING AND WELLNESS OF REXBURG NPI is 1801274790. The provider is registered as an organization entity type.
The provider Is Doing Business As Integrated Counseling And Wellness.

The provider's business location address is:

101 E MAIN ST STE 210
REXBURG, ID
ZIP 83440-017
Phone: (208) 357-3104
Fax: (888) 990-2826

The provider's authorized official is Luke Einerson .
The authorized official title is President/ceo and has the following contact phone number (208) 357-3104.

The enumeration date for this NPI number is 5/11/2015 and was last updated on 8/30/2021.

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	261QM0850X	Clinic/Center	Adult Mental Health	5636	IDAHO	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	5636	IDAHO	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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