The Counseling Clinic

LBN: Ashton Memorial, Inc.
The Counseling Clinic is an health care organization with primary practice located at 1301 E 17Th St Ste 4 , Idaho Falls ID 83404-6273. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Ashton Memorial, Inc. can be contacted via phone (208) 523-0787, or through Brady, Suzanne via phone (205) 652-7461.

Contact Information

Primary practice address
1301 E 17Th St Ste 4 Idaho Falls ID 83404-6273
Phone: (208) 523-0787
Fax: (208) 523-3175
Website:
Map and Directions
Authorized official contact:
Name: Brady, Suzanne
Phone: (205) 652-7461

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1245670793
LBN Legal business name Ashton Memorial, Inc.
DBA Doing business as The Counseling Clinic
Authorized official Brady, Suzanne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2013
Last updated Jun 28th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245670793 NPPES
Idaho MEDICAID 1003907163

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