# EARTHERAPY

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

## Provider details

- **NPI number:** 1154639714
- **Authorized official:** STEPHANIE ANN SCHOEN-ORR LCPC (OWNER)
- **Authorized official phone:** (208) 528-6853

## Contact information

- **Practice address:** 354 W SUNNYSIDE RD, SUITE D, IDAHO FALLS, ID 83402-4644
- **Practice address phone:** (208) 528-6853
- **Practice address fax:** (208) 528-6888
- **Mailing address:** 354 W SUNNYSIDE RD, SUITE D, IDAHO FALLS, ID 83402-4644
- **Mailing address phone:** (208) 528-6853
- **Mailing address fax:** (208) 528-6888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | LCPC-3187 | ID | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 09/16/2010