1457867962 STILLWATER CONNECTION

Community/Behavioral Health Agency

Active

Basic Information

Organization Name
STILLWATER CONNECTION
Enumeration Date
December 19, 2017
Last Update
March 29, 2024
Authorized Official
DR. TANYA KRISTEN NELSON
OWNER
Phone: (208) 800-2758

Practice Location

Address
22480 DUFF LN
MIDDLETON, ID 836446041
Phone
(208) 965-4502
Fax
(208) 505-4280

Mailing Address

Address
22480 DUFF LN
MIDDLETON, ID 836446041
Phone
(208) 965-4502
Fax
(208) 505-4280

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Health Counselor
Mental Health
 101YM0800X Counselor N/A N/A No
Adult Mental Health Clinic/Center
Adult Mental Health
 261QM0850X Clinic/Center N/A N/A No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
 261QM0855X Clinic/Center N/A N/A No
Community/Behavioral Health Agency
 251S00000X Community/Behavioral Health LPC6027 ID Primary

Other Identifiers

Identifier Type State Issuer
1457867962 05 ID N/A

Additional Practice Locations

343 E 4th N
Rexburg, ID 834406002

Phone: (208) 538-3654

Fax: (208) 505-4280

Frequently Asked Questions

What is STILLWATER CONNECTION's NPI number?
STILLWATER CONNECTION's NPI number is 1457867962.
Which doctor has NPI number 1457867962?
The doctor with NPI number 1457867962 is STILLWATER CONNECTION.
What is STILLWATER CONNECTION's practice address?
STILLWATER CONNECTION's practice address is 22480 DUFF LN, MIDDLETON, ID, 836446041.
Which doctor practices at 22480 DUFF LN, MIDDLETON, ID, 836446041?
STILLWATER CONNECTION practices at 22480 DUFF LN, MIDDLETON, ID, 836446041.
What is STILLWATER CONNECTION's phone number?
STILLWATER CONNECTION's phone number is (208) 965-4502.
Who is (208) 965-4502?
(208) 965-4502 is the phone number for STILLWATER CONNECTION.
What is STILLWATER CONNECTION's specialty?
STILLWATER CONNECTION's specialty is Community/Behavioral Health Agency.
What type of doctor is STILLWATER CONNECTION?
STILLWATER CONNECTION is a Community/Behavioral Health Agency.
Is STILLWATER CONNECTION a Community/Behavioral Health?
Yes, STILLWATER CONNECTION is a Community/Behavioral Health.
Is STILLWATER CONNECTION still practicing?
Yes, STILLWATER CONNECTION is currently practicing.
Is STILLWATER CONNECTION accepting new patients?
STILLWATER CONNECTION may be accepting new patients. Please call their office at (208) 965-4502 to inquire about availability.
Is NPI 1457867962 still active?
Yes, NPI 1457867962 is currently active.
Where does STILLWATER CONNECTION practice?
STILLWATER CONNECTION practices in MIDDLETON, ID.