Organization
CONSUMER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI RASMUSSEN LCSW, CADC (CLINICAL DIRECTOR)
(208) 226-4637
Entity
Organization
Contact information
Practice address
645 W CLARK ST, POCATELLO, ID 83204-3141
(208) 234-9361
(208) 909-2662
Mailing address
645 W CLARK ST, POCATELLO, ID 83204-3141
(208) 234-9361
(208) 236-1855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8055295
—
ID
05
—
8055528
—
ID
05
—
8055566
—
ID
Enumeration date
04/06/2007
Last updated
07/23/2025
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