WISE MIND ONLINE THERAPY NPI 1831802446

NPI Information

NPI: 1831802446
Provider Name: WISE MIND ONLINE THERAPY
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
16252 E 3RD ST
BAYVIEW, ID
ZIP 83803
Phone: (208) 243-3332
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WISE MIND ONLINE THERAPY is an adult mental health clinic center in Bayview, 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 adults. WISE MIND ONLINE THERAPY NPI is 1831802446. The provider is registered as an organization entity type.

The provider's business location address is:

16252 E 3RD ST
BAYVIEW, ID
ZIP 83803-002
Phone: (208) 243-3332

The provider's authorized official is Travis Reed Stephens .
The authorized official title is Owner and has the following contact phone number (208) 243-3332.

The enumeration date for this NPI number is 12/28/2022 and was last updated on 12/28/2022.

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			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: 5/5/2024

NPI Synchronization or Removal

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