Organization
UNIFIED HEALTHCARE OF IDAHO LLC
Active
Organization
UNIFIED HEALTHCARE OF IDAHO LLC
Active
Parent organization
TUELLER COUNSELING INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TUELLER COUNSELING INC
Authorized official
THOMAS TUELLER LCSW (OWNER)
(208) 221-0007
Entity
Organization
Contact information
Practice address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
(208) 529-3967
(208) 522-0088
Mailing address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
(208) 529-3967
(208) 522-0088
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847298396
—
ID
Enumeration date
04/29/2015
Last updated
07/11/2016
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