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Organization
REENVISION BEHAVIORAL HEALTH PLLC
Active
Organization
REENVISION BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA ESQUIVEL LIRA LCSW (OWNER/ THERAPIST)
(208) 219-5059
Entity
Organization
Contact information
Practice address
1219 E HIGHWAY 81 BYP, DECLO, ID 83323
(208) 219-5059
Mailing address
PO BOX 242, DECLO, ID 83323-0242
(208) 219-5059
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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