| Cognitive Healing Institute Llc | |
|
214 E Center St Pocatello ID 83201-6372 | |
| (208) 244-0795 | |
| (208) 886-6525 |
| Full Name | Cognitive Healing Institute Llc |
|---|---|
| Speciality | Social Worker |
| Location | 214 E Center St, Pocatello, Idaho |
| Authorized Official Name and Position | Kurt D Layton (OWNER) |
| Authorized Official Contact | 2083802842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Healing Institute Llc 13345 N Manning Ln Chubbuck ID 83202-5185 Ph: (208) 380-2842 | Cognitive Healing Institute Llc 214 E Center St Pocatello ID 83201-6372 Ph: (208) 244-0795 |
| NPI Number | 1427897271 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Medicare PECOS PAC ID | 2466982855 |
|---|---|
| Medicare Enrollment ID | O20250214001365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427897271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kurt D Layton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336562412 PECOS PAC ID: 4587920947 Enrollment ID: I20171117001874 |
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