| Rocky Mountain Behavioral Health Center | |
|
120 N 12th Ave Ste. 1 Pocatello ID 83201-4767 | |
| (208) 233-4660 | |
| (208) 233-4262 |
| Full Name | Rocky Mountain Behavioral Health Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 120 N 12th Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Becky Pierce (OWNER) |
| Authorized Official Contact | 2082334660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Behavioral Health Center 1110 Call Creek Dr Suite 7 Pocatello ID 83201-3001 Ph: (208) 233-4660 | Rocky Mountain Behavioral Health Center 120 N 12th Ave Ste. 1 Pocatello ID 83201-4767 Ph: (208) 233-4660 |
| NPI Number | 1215302187 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215302187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW34676 (Idaho) | Primary |
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