Organization
BELLA-NACOLE MENTAL HEALTH SERVICES LLC
Active
Parent organization
BELLA-NACOLE MENTAL HEALTH SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLA-NACOLE MENTAL HEALTH SERVICES, LLC
Authorized official
MELISSA OURADA (OWNER)
(208) 220-8606
Entity
Organization
Contact information
Practice address
1111 N 8TH AVE STE B, POCATELLO, ID 83201-5789
(208) 220-8606
Mailing address
1111 N 8TH AVE STE B, POCATELLO, ID 83201-5789
(208) 220-8606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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