Organization · NPI-2

Allstar Counseling Services

Case Management · Idaho Falls, ID

NPI number1356569495
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1356569495
Entity type
Organization (NPI-2)
Legal business name
Allstar Counseling Services
Organization subpart
No
Enumeration date
Apr 23, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case ManagementLSW-24674IDYes

Other names

  • Allstar Counseling (Doing Business As)

Practice location

550 2nd St # 292
Idaho Falls, ID 83401-3900

Phone 208-200-7377 · Fax 208-529-4647

Mailing address

550 2nd St # 292
Po Box 1876
Idaho Falls, ID 83401-3900

Phone 208-200-7377 · Fax 208-529-4647

Authorized official

Mandy J. Luis
Owner
2082007377

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