# ID BEHAVIORAL HEALTH, PLLC

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

## Provider details

- **NPI number:** 1548145162
- **Authorized official:** TYLER JORDAN POND PA-C (OWNER/CLINICIAN)
- **Authorized official phone:** (208) 557-3255

## Contact information

- **Practice address:** 150 N WOODRUFF AVE, IDAHO FALLS, ID 83401-4335
- **Practice address phone:** (208) 557-3255
- **Practice address fax:** (208) 471-5069
- **Mailing address:** 150 N WOODRUFF AVE, IDAHO FALLS, ID 83401-4335
- **Mailing address phone:** (208) 557-3255
- **Mailing address fax:** (208) 471-5069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2025
- **Last updated:** 02/03/2026