Bella-Nacole Mental Health Services LLC
Community/Behavioral Health in Pocatello, ID. Organization (NPI-2).
NPI number1629884184
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1629884184
- Entity type
- Organization (NPI-2)
- Legal business name
- Bella-Nacole Mental Health Services LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 9, 2024
- Certification date
- Dec 9, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1111 N 8th Ave Ste BPocatello, ID 83201-5789
Phone 208-220-8606
Mailing address
1111 N 8th Ave Ste BPocatello, ID 83201-5789
Phone 208-220-8606
Other practice locations
1111 N 8th Ave Ste C
Pocatello, ID 83201-5789
Pocatello, ID 83201-5789
Phone 208-220-8606
Authorized official
Melissa Ourada
Owner
2082208606
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