Organization
BELLA-NACOLE MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY JO WEBB (OWNER)
(208) 226-4943
Entity
Organization
Contact information
Practice address
808 N 8TH AVE, POCATELLO, ID 83201-5718
(208) 226-4943
(208) 242-3892
Mailing address
850 E YOUNG ST, POCATELLO, ID 83201-5736
(208) 220-8606
(208) 242-3892
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
11/07/2022
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