Organization
MOUNTAIN LAUREL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LYNN OVERACRE (MENTAL HEALTH THERAPIST)
(910) 308-6764
Entity
Organization
Contact information
Practice address
133 MAIN AVE W, SUITE 300, TWIN FALLS, ID 83301
(910) 308-6764
Mailing address
1011 BELL LN, KIMBERLY, ID 83341-5182
(910) 308-6764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up