Integrated Counseling and Wellness Eating Disorder Center of Rexburg

NPI #1881353175 in Rexburg, Idaho

Provider Information

NPI Number: 1881353175
Entity Type: Organization
Organization Name: Integrated Counseling and Wellness Eating Disorder Center of Rexburg
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 14, 2021
Last Updated: Sep 20, 2022

Practice Location

Address: 101 E MAIN ST STE 211
City: Rexburg
State: Idaho
ZIP Code: 83440-2017
Phone: (208) 357-3104

Authorized Official

Name: MR. LUKE SCOTT EINERSON, PHD
Title: OWNER
Phone: (208) 403-1826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Social Worker	104100000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Counselor - Professional — Professional	101YP2500X	Primary

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