Active NPI
Lifestyle Changes Counseling
- Substance Use Disorder Rehabilitation Clinic/Center
- Twin Falls, ID
National Provider Identifier
1912335217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- LIFESTYLE CHANGES COUNSELING
- Practice address
- 371 Locust St S
Twin Falls, ID 83301-7837 - Phone
- (208) 734-5230
- NPI assigned
- Oct 23, 2013
- Last updated
- Oct 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William L Virtue Sr.
- Title
- Owner
- Phone
- (208) 734-5230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | ID | Primary |
Addresses
Primary practice location
371 Locust St S
Twin Falls, ID 83301-7837
Mailing address
371 Locust St S
Twin Falls, ID 83301-7837
Phone (208) 734-5230
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382486400000",
"number": "1912335217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 LOCUST ST S",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833017837",
"telephone_number": "208-734-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 LOCUST ST S",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833017837",
"telephone_number": "208-734-5230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESTYLE CHANGES COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-23",
"last_updated": "2013-10-23",
"status": "A",
"authorized_official_last_name": "VIRTUE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "12087345230",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.