Latino Stand Up Idaho LLC
Latino Stand Up Idaho LLC is a Child & Adolescent Psychiatry Physician in Idaho Falls, Idaho. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 8
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1680 Woodruff ParkIdaho Falls, ID 83401-3330
Phone: (208) 552-6373
Fax: (208) 552-2188
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X |
| Case Management Agency | Taxonomy 251B00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
| Medical Physician Assistant | Taxonomy 363AM0700X |
| Clinical Nurse Specialist | Taxonomy 364S00000X |
Record details
| NPI number | 1043556608 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Horne — Owner · (910) 573-0861 |
| Other names | Latino Stand Up |
| NPI enumerated | December 28, 2012 |
| Last updated in NPPES | May 23, 2013 |
| Mailing address | 1680 Woodruff Park, Idaho Falls, ID 83401-3330 |
Other providers in Idaho Falls
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MS. Susan Lynn Bunnell, MD
2280 E 25th St, Idaho Falls, ID 83404 · (208) 227-2295
-
Craig J Denny MD Prof Corp
2280 E 25th St, Idaho Falls, ID 83404-7542 · (208) 227-2100
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Family Care Center
1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 · (208) 529-8832
-
Dr. Matthew F Larsen, DO
2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404-6371 · (208) 419-3002
-
Dr. Ronald M. Zohner, MD
1842 1st St, Idaho Falls, ID 83401-4415 · (208) 552-5707