| Eq Therapy For Kids, Llc | |
|
707 F St Rupert ID 83350-1638 | |
| (208) 794-8139 | |
| Not Available |
| Full Name | Eq Therapy For Kids, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 707 F St, Rupert, Idaho |
| Authorized Official Name and Position | Terra J Haynes (OWNER) |
| Authorized Official Contact | 2087948139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eq Therapy For Kids, Llc 523 S Maple St Rupert ID 83350-2168 Ph: (208) 794-8139 | Eq Therapy For Kids, Llc 707 F St Rupert ID 83350-1638 Ph: (208) 794-8139 |
| NPI Number | 1578295069 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578295069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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