Organization
TAKE HEART COUNSELING IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN LOUISE JONES LCSW (AUTHORIZED OFFICIAL)
(208) 421-0238
Entity
Organization
Contact information
Practice address
139 RIVER VISTA PL STE 201, TWIN FALLS, ID 83301-3060
(208) 421-0238
Mailing address
4523 KANAKA CT, BUHL, ID 83316-5162
(208) 421-0238
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
06/17/2023
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