High Tide Psychiatry, PLLC
High Tide Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Idaho Falls, Idaho. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1500 Pancheri Dr Ste 4Idaho Falls, ID 83402-3212
Phone: (208) 557-3870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1023762119 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amber Van Sickle-Birch — Owner · (208) 557-3870 |
| Other names | High Tide Psychiatry |
| NPI enumerated | February 8, 2022 |
| Last updated in NPPES | February 8, 2022 |
| Certification date | February 8, 2022 |
| Mailing address | 1500 Pancheri Dr Ste 4, Idaho Falls, ID 83402-3212 |
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