Organization · Type 2 NPI

Lost River Counseling PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Idaho Falls, ID

NPI number 1750157400 Active

Practice location

1070 Riverwalk Dr Ste 264
Idaho Falls, ID 83402-3343

Mailing address

113 E 14th St
Idaho Falls, ID 83404-5909

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1750157400

Lost River Counseling PLLC's National Provider Identifier is 1750157400, issued on Dec 4, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 7, 2024.