| A Healthy Mind, Llc | |
|
414 N Lincoln Ave Ste 4 Jerome ID 83338-2300 | |
| (208) 969-1002 | |
| Not Available |
| Full Name | A Healthy Mind, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 414 N Lincoln Ave Ste 4, Jerome, Idaho |
| Authorized Official Name and Position | Christina Rebolledo (OWNER) |
| Authorized Official Contact | 2089691002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Healthy Mind, Llc 725 Idaho St Gooding ID 83330-1535 Ph: (208) 969-1002 | A Healthy Mind, Llc 414 N Lincoln Ave Ste 4 Jerome ID 83338-2300 Ph: (208) 969-1002 |
| NPI Number | 1760268791 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760268791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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