Organization
EARTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANN SCHOEN-ORR LCPC (OWNER)
(208) 528-6853
Entity
Organization
Contact information
Practice address
354 W SUNNYSIDE RD, SUITE D, IDAHO FALLS, ID 83402-4644
(208) 528-6853
(208) 528-6888
Mailing address
354 W SUNNYSIDE RD, SUITE D, IDAHO FALLS, ID 83402-4644
(208) 528-6853
(208) 528-6888
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
LCPC-3187
ID
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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