Organization · Type 2 NPI
State of Mind Counseling and Wellness Center
Adolescent and Children Mental Health Clinic/Center · Eagle, ID
Practice location
141 N Palmetto Ave Unit 1626
Eagle, ID 83616-8066
Mailing address
233 W State St Ste D
Eagle, ID 83616-4982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4841 (ID) |
| Adult Mental Health Clinic/Center | 261QM0850X | 4841 (ID) |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | 4841 (ID) |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
About NPI 1013277128
State of Mind Counseling and Wellness Center's National Provider Identifier is 1013277128, issued on May 22, 2012. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Eagle, ID. The record was last updated on Jul 27, 2012.