Organization
LUKE & SPENCER BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SPENCER MSW (OWNER)
(208) 974-5200
Entity
Organization
Contact information
Practice address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 406-4822
Mailing address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
01/04/2024
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