Mbknowles Behavior & Mental Health Therapy

NPI #1326894890 in Shelley, Idaho

Provider Information

NPI Number: 1326894890
Entity Type: Organization
Organization Name: Mbknowles Behavior & Mental Health Therapy
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 25, 2024
Last Updated: Apr 25, 2024

Practice Location

Address: 1170 E 800 N
City: Shelley
State: Idaho
ZIP Code: 83274-5356
Phone: (772) 284-1873

Authorized Official

Name: MADISON KNOWLES, LCPC
Title: LICENSED COUNSELOR
Phone: (732) 606-6984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychoanalyst	102L00000X
Behavior Analyst	103K00000X
Social Worker - Clinical — Clinical	1041C0700X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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Individual Providers

Provider Name	Specialty	City
Madison Knowles, MS, LMHC, LPC, LCPC	Counselor - Mental Health	Shelley	AI Deep Dive
Amanda Medrano Johnson, LPC	Counselor - Mental Health	Shelley	AI Deep Dive
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