# SPRING CREEK MENTAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154135465
- **Authorized official:** TY COTTLE PMHNP-BC (OWNER)
- **Authorized official phone:** (208) 973-9413

## Contact information

- **Practice address:** 711 RIGBY LAKE DR STE 600, RIGBY, ID 83442-5372
- **Practice address phone:** (208) 973-9413
- **Practice address fax:** (208) 216-0228
- **Mailing address:** PO BOX 321, LEWISVILLE, ID 83431-0321
- **Mailing address phone:** (208) 973-9413
- **Mailing address fax:** (208) 216-0228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2025
- **Last updated:** 03/18/2026