Organization
TETON COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS K. BYBEE LCSW (PRESIDENT)
(208) 542-0352
Entity
Organization
Contact information
Practice address
615 HOOPES AVE, IDAHO FALLS, ID 83401-6106
(208) 542-0352
Mailing address
615 HOOPES AVE, IDAHO FALLS, ID 83401-6106
(208) 542-0352
(208) 542-0359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-26094
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807315400
—
ID
05
—
807336800
—
ID
Enumeration date
03/06/2007
Last updated
11/24/2025
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