Organization
HEALING SPRINGS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MENDOZA (ADMINISTRATOR)
(630) 632-5822
Entity
Organization
Contact information
Practice address
534 TREJO ST STE 200H, REXBURG, ID 83440-5408
(208) 541-9075
Mailing address
534 TREJO ST STE 200H, REXBURG, ID 83440-5408
(208) 541-9075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/09/2023
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