Organization
ASPEN GROVE FAMILY THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT WHITEHEAD PHD, LMFT (OWNER)
(509) 392-1874
Entity
Organization
Contact information
Practice address
762 FALLS AVE, TWIN FALLS, ID 83301-3316
(208) 258-7681
Mailing address
762 FALLS AVE, TWIN FALLS, ID 83301-3316
(208) 258-7681
(208) 907-0874
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/07/2019
Last updated
04/24/2025
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