Organization
B&G INTERNATIONAL LLC
Active
Other names
Elevated Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT M. JUDD LCSW (OWNER)
(208) 904-3225
Entity
Organization
Contact information
Practice address
353 E LANDER, STE 201, POCATELLO, ID 83201-6319
(208) 904-3225
(208) 904-3227
Mailing address
15149 W LACEY, CHUBBUCK, ID 83202-5044
(208) 904-3225
(208) 904-3227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
12/08/2025
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