| East Idaho Mental Health | |
|
859 S Yellowstone Hwy Ste 3201 Rexburg ID 83440-6200 | |
| (208) 359-2101 | |
| Not Available |
| Full Name | East Idaho Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 859 S Yellowstone Hwy Ste 3201, Rexburg, Idaho |
| Authorized Official Name and Position | Tiffaney Egan (ADMINISTRATOR) |
| Authorized Official Contact | 2083592101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Idaho Mental Health 859 S Yellowstone Hwy Ste 3201 Rexburg ID 83440-6200 Ph: (208) 359-2101 | East Idaho Mental Health 859 S Yellowstone Hwy Ste 3201 Rexburg ID 83440-6200 Ph: (208) 359-2101 |
| NPI Number | 1629825526 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629825526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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