Organization
JUST 4 KIDS HEALTH LLC
Active
Other names
Just 4 Kids Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
AARON HOWARD GARDNER MD (OWNER)
(208) 534-7881
Entity
Organization
Contact information
Practice address
2105 CORONADO STREET, IDAHO FALLS, ID 83404
(208) 534-7881
(208) 242-4464
Mailing address
PO BOX 1407, IDAHO FALLS, ID 83403-1407
(208) 534-7881
(208) 203-7067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/15/2023
Last updated
02/16/2026
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