| Id Behavioral Health, Pllc | |
|
6420 E Mansion Hill Dr Ammon ID 83406-4707 | |
| (208) 516-0248 | |
| Not Available |
| Full Name | Id Behavioral Health, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6420 E Mansion Hill Dr, Ammon, Idaho |
| Authorized Official Name and Position | Tyler Jordan Pond (MANAGING PARTNER) |
| Authorized Official Contact | 2085160248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Behavioral Health, Pllc 6420 E Mansion Hill Dr Ammon ID 83406-4707 Ph: () - | Id Behavioral Health, Pllc 6420 E Mansion Hill Dr Ammon ID 83406-4707 Ph: (208) 516-0248 |
| NPI Number | 1548145162 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548145162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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