Provider Demographics
NPI:1386263341
Name:ANSWERS LLC - PEER SUPPORT
Entity type:Organization
Organization Name:ANSWERS LLC - PEER SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-552-0855
Mailing Address - Street 1:855 N CAPITAL AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83402-3405
Mailing Address - Country:US
Mailing Address - Phone:208-552-0855
Mailing Address - Fax:208-523-1132
Practice Address - Street 1:855 N CAPITAL AVE STE 1
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-3405
Practice Address - Country:US
Practice Address - Phone:208-552-0855
Practice Address - Fax:208-523-1132
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANSWERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)