East Idaho Mental Health LLC

NPI #1629825526 in Rexburg, Idaho

Provider Information

NPI Number: 1629825526
Entity Type: Organization
Organization Name: East Idaho Mental Health LLC
Primary Specialty: Counselor
Enumeration Date: Apr 30, 2024
Last Updated: Jun 3, 2025

Practice Location

Address: 859 S YELLOWSTONE HWY STE 3201
City: Rexburg
State: Idaho
ZIP Code: 83440-6200
Phone: (208) 359-2101

Authorized Official

Name: DESTIN THAYNE
Title: ADMINISTRATOR
Phone: (208) 359-2101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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