Pro Active Advantage, Llc in Twin Falls - Mental Health
Pro Active Advantage, Llc - NPI 1225139298
Pro Active Advantage, Llc is a Mental Health in Twin Falls, Idaho. Pro Active Advantage, Llc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Pro Active Advantage, Llc is 1225139298. The last update date is 2023-08-22.
Pro Active Advantage, Llc's current location address is 562 Shoup Ave W, Twin Falls, Idaho. You can contact this provider via phone number 2087340407 and fax number 2087343534. The mailing address for Pro Active Advantage, Llc is 562 Shoup Ave W, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pro Active Advantage, Llc |
|---|---|
| Address | 562 Shoup Ave W, Twin Falls, Idaho |
| Phone Number | 2087340407 |
| Fax Number | 2087343534 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Colwell Lisa |
| Telephone Number | 2087340407 |
NPI Number Detail
| NPI Number | 1225139298 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2023-08-22 |
Provider Mailing Address Detail
| Address | 562 Shoup Ave W |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 833015029 |
| Phone Number | 2087340407 |
| Fax Number | 2087343534 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807373500 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pro Active Advantage, Llc by the Centers for Medicare & Medicaid Services?
The Pro Active Advantage, Llc has been issued the NPI (National Provider Identifier) 1225139298, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pro Active Advantage, Llc's physical address?
The Pro Active Advantage, Llc is physically located at 562 Shoup Ave W, in the city of Twin Falls, ID, with the postal code 833015029.
Could you please provide the complete street address where Pro Active Advantage, Llc is physically located?
The Pro Active Advantage, Llc is physically situated at the following address: 562 Shoup Ave W, Twin Falls, ID, 833015029.
What is the Pro Active Advantage, Llc's area of specialization and corresponding taxonomy classification?
The Pro Active Advantage, Llc's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
When did the Pro Active Advantage, Llc receive its 1225139298?
The Pro Active Advantage, Llc was issued its 1225139298 on 2006-09-25, which is the date when the organization was assigned this unique identifier.