| Treasure Valley Neurotherapy Llc | |
|
1677 E Miles Ave Ste 100 Hayden Lake ID 83835-9154 | |
| (208) 631-1089 | |
| Not Available |
| Full Name | Treasure Valley Neurotherapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1677 E Miles Ave Ste 100, Hayden Lake, Idaho |
| Authorized Official Name and Position | Sarah Jordan (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2086311089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Neurotherapy Llc 1869 E Seltice Way # 334 Post Falls ID 83854-7019 Ph: (208) 631-1089 | Treasure Valley Neurotherapy Llc 1677 E Miles Ave Ste 100 Hayden Lake ID 83835-9154 Ph: (208) 631-1089 |
| NPI Number | 1508647025 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508647025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
K2 Fmily Partnership Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5723 E Dodd Rd, Hayden Lake, ID 83835 Phone: 208-699-1704 | |
Integrated Interventions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2482 E. Glacier Rd., Hayden Lake, ID 83835 Phone: 208-651-0095 | |
Katherine Wacholz Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5723 E Dodd Rd, Hayden Lake, ID 83835 Phone: 208-699-1704 |