Organization
RESTORATION MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATHA HINCKLEY (OFFICE MANAGER)
(208) 725-3555
Entity
Organization
Contact information
Practice address
1820 E 17TH ST STE 330, IDAHO FALLS, ID 83404-6400
(208) 725-3555
(659) 223-0772
Mailing address
1820 E 17TH ST STE 330, IDAHO FALLS, ID 83404-6400
(208) 725-3555
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
06/23/2025
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