Organization
ADVANCED MENTAL HEALTH AND NEUROFEEDBACK
Active
Other names
Advanced Mental Health and Neurofeedback
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE HOBBS (MEMBER)
(208) 705-6771
Entity
Organization
Contact information
Practice address
2001 S WOODRUFF AVE STE 11, IDAHO FALLS, ID 83404-6372
(208) 705-6771
Mailing address
631 MARK AVE, IDAHO FALLS, ID 83401-3116
(208) 705-6771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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