| Compassionate Trauma Therapy, Llc | |
|
1152 Bond Ave Ste B Rexburg ID 83440-3501 | |
| (208) 391-3141 | |
| Not Available |
| Full Name | Compassionate Trauma Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1152 Bond Ave Ste B, Rexburg, Idaho |
| Authorized Official Name and Position | Natalie Millett (OWNER) |
| Authorized Official Contact | 2083913141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Trauma Therapy, Llc 1152 Bond Ave Ste B Rexburg ID 83440-3501 Ph: (208) 391-3141 | Compassionate Trauma Therapy, Llc 1152 Bond Ave Ste B Rexburg ID 83440-3501 Ph: (208) 391-3141 |
| NPI Number | 1467064139 |
|---|---|
| Provider Enumeration Date | 08/23/2020 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467064139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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