Provider Demographics
NPI:1932845781
Name:ACCESSIBLE WELLNESS
Entity Type:Organization
Organization Name:ACCESSIBLE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:AUBREY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:208-742-6400
Mailing Address - Street 1:1070 HILINE RD STE 250
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-2955
Mailing Address - Country:US
Mailing Address - Phone:208-742-6400
Mailing Address - Fax:208-742-6444
Practice Address - Street 1:1070 HILINE RD STE 250
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-2955
Practice Address - Country:US
Practice Address - Phone:208-742-6400
Practice Address - Fax:208-742-6444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty