| South Fork Services, Llc | |
|
310 N 2nd E Ste 128 Rexburg ID 83440-1607 | |
| (208) 356-5675 | |
| Not Available |
| Full Name | South Fork Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 310 N 2nd E Ste 128, Rexburg, Idaho |
| Authorized Official Name and Position | Wade Gordon (OWNER) |
| Authorized Official Contact | 2083565675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Fork Services, Llc 310 N 2nd E Ste 128 Rexburg ID 83440-1607 Ph: (208) 356-5675 | South Fork Services, Llc 310 N 2nd E Ste 128 Rexburg ID 83440-1607 Ph: (208) 356-5675 |
| NPI Number | 1588006217 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588006217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW 27205 (Idaho) | Primary |
Brannon & Brannon Psychological Services Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Trejo Street, Suite 100, Rexburg, ID 83440 Phone: 208-356-3776 Fax: 208-356-9498 | |
Counseling & Treatment Center Of Idaho, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 S Yellowstone Hwy Ste 302, Rexburg, ID 83440 Phone: 208-932-5363 Fax: 205-273-8403 | |
Child And Family Resource Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 N 3rd E, Rexburg, ID 83440 Phone: 208-356-4911 Fax: 208-356-5044 | |
Centerpoint Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-4840 Fax: 208-359-9010 | |
Trevor Rasmussen Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440 Phone: 208-227-3549 | |
Rexburg Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 343 E 4th N, Suite 244, Rexburg, ID 83440 Phone: 208-356-0088 | |
Idaho Ed Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 859 S Yellowstone Hwy # 2201, Rexburg, ID 83440 Phone: 208-705-5239 |