Provider Demographics
NPI:1609997147
Name:HEALTHY PROGRESSION OF TWIN FALLS
Entity Type:Organization
Organization Name:HEALTHY PROGRESSION OF TWIN FALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL THERIPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MARSHAL
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:208-737-0808
Mailing Address - Street 1:451 EASTLAND DR
Mailing Address - Street 2:STE. #7
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-7454
Mailing Address - Country:US
Mailing Address - Phone:208-737-0808
Mailing Address - Fax:208-737-0808
Practice Address - Street 1:451 EASTLAND DR
Practice Address - Street 2:STE. #7
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-7454
Practice Address - Country:US
Practice Address - Phone:208-737-0808
Practice Address - Fax:208-737-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLICENSE NOT NEEDED251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health