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Contact Information

MOUNTAIN LAUREL THERAPY LLC
133 MAIN AVE W
SUITE 300
TWIN FALLS, ID83301
 Phone: 910-308-6764
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MOUNTAIN LAUREL THERAPY LLC · (Female)

NPI Number 1548001522
Status Active
Credentials
Entity Individual
Enumeration date 06/04/2024
Last updated 06/04/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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