Sequel Tsi of Idaho, LLC
Sequel Tsi of Idaho, LLC is an Adolescent and Children Mental Health Clinic/Center in Mountain Home, Idaho. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2850 Industrial WayMountain Home, ID 83647-3960
Phone: (208) 587-2679
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
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|
Record details
| NPI number | 1891047296 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Sequel Tsi Holdings, LLC |
| Authorized official | Chris Banken — Sr. Vice Prsident Of Operations · (602) 335-2095 |
| Other names | Mountain Home |
| NPI enumerated | October 9, 2012 |
| Last updated in NPPES | October 9, 2012 |
| Mailing address | 2850 Industrial Way, Mountain Home, ID 83647-3960 |