MISTY MOUNTAINS THERAPY LLC NPI 1841934809

NPI Information

  • NPI: 1841934809
  • Provider Name: MISTY MOUNTAINS THERAPY, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 534 TREJO ST # 200J
    REXBURG, ID
    ZIP 83440
  • Phone: (530) 949-4774

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NPI Details

MISTY MOUNTAINS THERAPY, LLC is a mental health counselor in Rexburg, ID. MISTY MOUNTAINS THERAPY, LLC NPI is 1841934809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

534 TREJO ST # 200J
REXBURG, ID
ZIP 83440-408
Phone: (530) 949-4774
Fax: (219) 200-3367

The provider's authorized official is Jefferson Hunt .
The authorized official title is Owner and has the following contact phone number (630) 632-5822.

The enumeration date for this NPI number is 4/26/2022 and was last updated on 4/26/2022.

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
1101YM0800XCounselorMental 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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