Advanced Mental Health and Neurofeedback
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Idaho Falls, ID
NPI 1083326219 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1083326219
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- ADVANCED MENTAL HEALTH AND NEUROFEEDBACK
- Practice address
- 2001 S Woodruff Ave Ste 11
Idaho Falls, ID 83404-6372 - Phone
- (208) 705-6771
- NPI assigned
- Dec 19, 2022
- Organization subpart
- No
Authorized official
- Name
- Mrs. Connie Hobbs
- Title
- Member
- Phone
- (208) 705-6771
Practitioners 1
-
Steven Killion, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
2001 S Woodruff Ave Ste 11
Idaho Falls, ID 83404-6372
Mailing address
631 Mark Ave
Idaho Falls, ID 83401-3116
Phone (208) 705-6771
Other names
- Advanced Mental Health and Neurofeedback
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EHR | Direct |
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All providers in Idaho Falls, ID · Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.