Organization
MINDFUL MOOD PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANDRUS PMHNP (PMHNP)
(208) 557-9572
Entity
Organization
Contact information
Practice address
534 TREJO STREET, SUITE 100, REXBURG, ID 83440
(208) 206-7066
Mailing address
1846 1ST ST # 1031, IDAHO FALLS, ID 83401-4415
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/31/2025
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