Individual
ZACHARY LEON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 16TH ST, IDAHO FALLS, ID 83404-5919
(208) 523-1130
(208) 529-6501
Mailing address
111 E 16TH ST, IDAHO FALLS, ID 83404-5919
(208) 523-1130
(208) 529-6501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ID
251S00000X
Community/Behavioral Health Agency
—
ID
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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