A to Z Family Services LLC Idaho Falls Branch
Organization Active NPI Community/Behavioral Health Agency · Idaho Falls, ID
NPI 1962553792 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962553792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- DO NOT HAVE ONE (ID)
- Legal business name
- A TO Z FAMILY SERVICES LLC IDAHO FALLS BRANCH
- Practice address
- 558 G St
Idaho Falls, ID 83402-3458 - Phone
- (208) 524-7400
- Fax
- (208) 524-8004
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Rebecca Jo Perrenoud, LCSW CIBI
- Title
- Director and Clinician
- Phone
- (208) 524-7400
Corporate family (same tax ID) 1
Practitioners 1
-
Thomas E. Tueller, LCSW
National Provider Directory
- Tax ID family
- A to Z Family Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | DO NOT HAVE ONE | ID | Yes |
Addresses
Primary practice location
558 G St
Idaho Falls, ID 83402-3458
Mailing address
558 G St
Idaho Falls, ID 83402-3458
Phone (208) 524-7400
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All providers in Idaho Falls, ID · Community/Behavioral Health Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.