Organization
WILD ROSE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA COLBERT LCSW (OWNER/MANAGER)
(986) 294-0262
Entity
Organization
Contact information
Practice address
330 SHOUP AVE STE 313, IDAHO FALLS, ID 83402-3650
(986) 294-0262
Mailing address
7761 N 55TH E, IDAHO FALLS, ID 83401-5530
(986) 294-0262
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/05/2026
Last updated
03/20/2026
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