Park Avenue Counseling Services, LLC

NPI #1851757405 in Rigby, Idaho

Provider Information

NPI Number: 1851757405
Entity Type: Organization
Organization Name: Park Avenue Counseling Services, LLC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jan 13, 2016
Last Updated: Jan 13, 2016

Practice Location

Address: 130 N 3772 E
City: Rigby
State: Idaho
ZIP Code: 83442-5316
Phone: (801) 400-4739

Authorized Official

Name: AMANDA PEDEN, LCPC
Title: CEO
Phone: (801) 400-4739

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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