# ROSE CENTER FOR HEALING

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

## Provider details

- **NPI number:** 1598515009
- **Authorized official:** PAISLEY ROSE CUMMINGS LCSW (OWNER/CLINICAL DIRECTOR)
- **Authorized official phone:** (208) 417-2218

## Contact information

- **Practice address:** 611 WILSON AVE STE 6A, POCATELLO, ID 83201-5046
- **Practice address phone:** (208) 254-5099
- **Practice address fax:** (208) 254-4180
- **Mailing address:** 611 WILSON AVE STE 6A, POCATELLO, ID 83201-5046
- **Mailing address phone:** (208) 254-5099
- **Mailing address fax:** (208) 254-4180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2024
- **Last updated:** 10/26/2024