# SNAKE RIVER FAMILY SERVICES

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

## Provider details

- **NPI number:** 1861215295
- **Authorized official:** DALLIN BEARD LPC (COUNSELOR/OWNER)
- **Authorized official phone:** (435) 744-3535

## Contact information

- **Practice address:** 495 N SHILLING AVE, BLACKFOOT, ID 83221-2336
- **Practice address phone:** (435) 744-3535
- **Mailing address:** 495 N SHILLING AVE, BLACKFOOT, ID 83221-2336
- **Mailing address phone:** (435) 744-3535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2024
- **Last updated:** 10/06/2026