Organization
MOUNTAIN PINE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L STREIGHT LPC (COUNSELOR)
(208) 695-3231
Entity
Organization
Contact information
Practice address
555 BURNSIDE AVE, MIDDLETON, ID 83644-1141
(208) 695-3231
Mailing address
555 BURNSIDE AVE, MIDDLETON, ID 83644-1141
(208) 695-3231
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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