Treasure Valley Neurotherapy LLC
NPI #1508647025 in Hayden Lake, Idaho
Provider Information
- NPI Number
- 1508647025
- Entity Type
- Organization
- Organization Name
- Treasure Valley Neurotherapy LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 10, 2023
- Last Updated
- Oct 10, 2023
Practice Location
- Address
- 1677 E MILES AVE STE 100
- City
- Hayden Lake
- State
- Idaho
- ZIP Code
- 83835-9154
- Phone
- (208) 631-1089
Authorized Official
- Name
- SARAH JORDAN, MA, LCPC, LMHC
- Title
- CLINICAL DIRECTOR
- Phone
- (208) 631-1089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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