# WHITEWATER TMS LLC

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

## Provider details

- **NPI number:** 1750103263
- **Authorized official:** DR. JACQUELINE MARIE BELL DO (OWNER)
- **Authorized official phone:** (602) 803-2765

## Contact information

- **Practice address:** 908 N WHITEWATER PARK BLVD, BOISE, ID 83703-5822
- **Practice address phone:** (208) 573-4387
- **Mailing address:** 908 N WHITEWATER PARK BLVD, BOISE, ID 83703-5822
- **Mailing address phone:** (208) 573-4387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

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