# DENEVE MENTAL HEALTH CLINIC

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

## Provider details

- **NPI number:** 1487367124
- **Authorized official:** DENISE LORAINE BARNES FNP-C, PMHNP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (208) 716-6445

## Contact information

- **Practice address:** 1970 E 17TH ST STE 111B, IDAHO FALLS, ID 83404-8046
- **Practice address phone:** (208) 541-5257
- **Mailing address:** 4710 CUMBERLAND DR, IDAHO FALLS, ID 83404-8414
- **Mailing address phone:** (208) 541-5257

## 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:** 12/27/2022
- **Last updated:** 01/13/2023