Organization · Type 2 NPI
Wild Rose Mental Health PLLC
Community/Behavioral Health Agency · Idaho Falls, ID
Practice location
330 Shoup Ave Ste 313
Idaho Falls, ID 83402-3650
Mailing address
7761 N 55th E
Idaho Falls, ID 83401-5530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1851258784
Wild Rose Mental Health PLLC's National Provider Identifier is 1851258784, issued on Jan 5, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Idaho Falls, ID. The record was last updated on May 15, 2026.