Unified Healthcare of Idaho LLC
NPI #1588041537 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1588041537
- Entity Type
- Organization
- Organization Name
- Unified Healthcare of Idaho LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TUELLER COUNSELING INC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Apr 29, 2015
- Last Updated
- Jul 11, 2016
Practice Location
- Address
- 2275 W BROADWAY ST STE G
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-2902
- Phone
- (208) 529-3967
Authorized Official
- Name
- THOMAS TUELLER, LCSW
- Title
- OWNER
- Phone
- (208) 221-0007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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