Organization · Type 2 NPI

Wild Rose Mental Health PLLC

Community/Behavioral Health Agency · Idaho Falls, ID

NPI number 1851258784 Active

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

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone 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.