| NPI | 1821766551 |
|---|---|
| Doing Business As | INTEGRATED COUNSELING AND WELLNESS |
| Other Name | IDAHO FALLS INTEGRATED COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LUKE SCOTT EINERSON President/CEO 208-357-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-10-11 |