| River Wellness Center Pllc | |
|
139 River Vista Pl Ste 106c Twin Falls ID 83301-3060 | |
| (208) 731-0664 | |
| Not Available |
| Full Name | River Wellness Center Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 139 River Vista Pl Ste 106c, Twin Falls, Idaho |
| Authorized Official Name and Position | Amber Graham (OWNER) |
| Authorized Official Contact | 2087312896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Wellness Center Pllc 2216 Settlers Ln Twin Falls ID 83301-7889 Ph: (208) 731-2896 | River Wellness Center Pllc 139 River Vista Pl Ste 106c Twin Falls ID 83301-3060 Ph: (208) 731-0664 |
| NPI Number | 1093332207 |
|---|---|
| Provider Enumeration Date | 07/03/2020 |
| Last Update Date | 07/03/2020 |
| Certification Date | 07/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093332207 | NPI | - | NPPES |
| LCSW-39383 | Other | ID | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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