Organization
PIVOT PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH A BYSTROM LCSW (OWNER)
(208) 949-7476
Entity
Organization
Contact information
Practice address
155 S 2ND AVE, POCATELLO, ID 83201-6407
(208) 949-7476
Mailing address
155 S 2ND AVE, POCATELLO, ID 83201-6407
(208) 949-7476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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