| Avanti Mental Health Inc | |
|
1323 Ammon Park Dr Ammon ID 83406-4591 | |
| (208) 534-5447 | |
| (309) 534-5507 |
| Full Name | Avanti Mental Health Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1323 Ammon Park Dr, Ammon, Idaho |
| Authorized Official Name and Position | Kirsten L Griggs (OWNER) |
| Authorized Official Contact | 2085345447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanti Mental Health Inc 1323 Ammon Park Dr Ammon ID 83406-4591 Ph: (208) 534-5447 | Avanti Mental Health Inc 1323 Ammon Park Dr Ammon ID 83406-4591 Ph: (208) 534-5447 |
| NPI Number | 1427734524 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427734524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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