| Spring Creek Mental Health Pllc | |
|
711 Rigby Lake Dr Ste 102 Rigby ID 83442-5230 | |
| (208) 973-9413 | |
| (208) 216-0228 |
| Full Name | Spring Creek Mental Health Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 711 Rigby Lake Dr Ste 102, Rigby, Idaho |
| Authorized Official Name and Position | Ty Cottle (OWNER) |
| Authorized Official Contact | 2089739413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Creek Mental Health Pllc Po Box 321 Lewisville ID 83431-0321 Ph: (208) 973-9413 | Spring Creek Mental Health Pllc 711 Rigby Lake Dr Ste 102 Rigby ID 83442-5230 Ph: (208) 973-9413 |
| NPI Number | 1154135465 |
|---|---|
| Provider Enumeration Date | 02/05/2025 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154135465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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