Organization
AZURE STONE MENTAL HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SPRINGER (OWNER)
(208) 623-8099
Entity
Organization
Contact information
Practice address
2000 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 623-8099
Mailing address
2440 LEGACY DR, POCATELLO, ID 83201-7916
(208) 623-8099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/16/2026
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