ESPERANZA MENTAL HEALTH


Address: 692 Evans Dr, Idaho Falls, ID 83402-5026
Phone: 2082004392

ESPERANZA MENTAL HEALTH (NPI# 1063760452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063760452
Entity Type Organization
Organization Name ESPERANZA MENTAL HEALTH
Practice Address 692 Evans Dr
Idaho Falls
ID 83402-5026
Practice Telephone 2082004392
Mailing Telephone 2082004392
Enumeration Date 2012-08-16
Last Update Date 2012-08-16
Authorized Official Name MS. MARIE LYNN ALLEN (OWNER)
Authorized Official Telephone 2082004392
Authorized Official Credential LSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 692 EVANS DR
City IDAHO FALLS
State ID
Zip Code 83402-5026

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1750847786 Brandi S Warnke Social Worker 254 E Street, Suite B, Idaho Falls, ID 83402 2019-02-14
1013402809 Kailey Lynn Moore Pharmacist 376 West 18th Street, Idaho Falls, ID 83402 2018-06-25
1407368616 Jessica Owsley Social Worker 2275 W Broadway Ste G, Idaho Falls, ID 83402 2017-10-27
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1649808767 Psychological Preventative Health Pllc Clinic/Center 4831 Greystone Ln, Idaho Falls, ID 83404-8338 2020-04-01
1629615406 Building A Life Worth Living, LLC Clinic/Center 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 2019-11-29
1053732263 A To Z Family Services Clinic/Center 380 N Capital Ave, Idaho Falls, ID 83402-3633 2013-12-16
1508124967 Starr and Cody Counseling, LLC Clinic/Center 1820 E 17th St Ste 230, Idaho Falls, ID 83404-6521 2012-04-23
1861765620 Lean On Me, Inc. Clinic/Center 150 N Woodruff Ave, Idaho Falls, ID 83401-4335 2012-02-09
1235352675 Access Point Family Services Inc. Clinic/Center 2680 Channing Way, Idaho Falls, ID 83404-7517 2007-04-11
1275669152 Idaho Dept of Health & Welfare Region 7 Amh Psr If Clinic/Center 150 Shoup Ave, Suite 17, Idaho Falls, ID 83402-3657 2007-02-26
1477172435 Answers, LLC - Case Management Clinic/Center 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 2020-04-10
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Competitor

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City IDAHO FALLS
Zip Code 83402

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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