| Azure Stone Mental Health & Wellness Llc | |
|
2000 S Eagle Rd Meridian ID 83642-6707 | |
| (801) 746-9373 | |
| Not Available |
| Full Name | Azure Stone Mental Health & Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2000 S Eagle Rd, Meridian, Idaho |
| Authorized Official Name and Position | Daniel Springer (OWNER) |
| Authorized Official Contact | 8017469373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azure Stone Mental Health & Wellness Llc 2440 Legacy Dr Pocatello ID 83201-7916 Ph: (801) 709-3247 | Azure Stone Mental Health & Wellness Llc 2000 S Eagle Rd Meridian ID 83642-6707 Ph: (801) 746-9373 |
| NPI Number | 1922879394 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922879394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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