Organization
CROSSPOINTE MENTAL HEALTH, LLC
Active
Other names
Crosspointe Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NYLA M JENSEN (ADMINISTRATOR)
(208) 736-7090
Entity
Organization
Contact information
Practice address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Mailing address
1363 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 736-7090
(208) 736-7089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
ID
101YM0800X
Mental Health Counselor
—
ID
101YP2500X
Professional Counselor
—
ID
104100000X
Social Worker
—
ID
1041C0700X
Clinical Social Worker
—
ID
106H00000X
Marriage & Family Therapist
—
ID
261QP2300X
Primary Care Clinic/Center
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235457565
—
ID
Enumeration date
01/04/2012
Last updated
05/23/2014
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