Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
D6 TREATMENT
Active
Organization
D6 TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MCCOY (OFFICE MANAGER / BILLING SPECIALIST)
(208) 242-9087
Entity
Organization
Contact information
Practice address
1001 N 7TH AVE STE 260, POCATELLO, ID 83201-5788
(208) 242-9087
(208) 242-9115
Mailing address
1001 N 7TH AVE STE 260, POCATELLO, ID 83201-5788
(208) 242-9087
(208) 242-9115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
TAXONOMY CODE
ID
Enumeration date
10/29/2019
Last updated
04/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up