Organization Name: | INTEGRATED FAMILY & COMMUNITY SERVICES |
NPI Number: | 1013331545 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA BELL (OWNER) |
Mailing Address: | 3355 S Holmes Ave Idaho Falls |
State: | ID US |
Postal Code: | 834047981 |
Phone Number: | 2085232080 |
Fax Number: | 2085232799 |
NPI Enumeration Date: | 02/04/2014 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW-1103 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |