| Eastunder Therapy Llc | |
|
3393 Merlin Dr Ste A Idaho Falls ID 83404-7490 | |
| (208) 643-5343 | |
| Not Available |
| Full Name | Eastunder Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3393 Merlin Dr Ste A, Idaho Falls, Idaho |
| Authorized Official Name and Position | Stefanie Westover (OWNER) |
| Authorized Official Contact | 2086435343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastunder Therapy Llc 2184 Channing Way # 458 Idaho Falls ID 83404-8034 Ph: (208) 643-5343 | Eastunder Therapy Llc 3393 Merlin Dr Ste A Idaho Falls ID 83404-7490 Ph: (208) 643-5343 |
| NPI Number | 1447939129 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 04/18/2025 |
| Certification Date | 04/17/2025 |
| Medicare PECOS PAC ID | 5294250585 |
|---|---|
| Medicare Enrollment ID | O20250418002109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447939129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joan Marie Radford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972157642 PECOS PAC ID: 8527585512 Enrollment ID: I20250502001702 |
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