Provider Demographics
NPI:1457696692
Name:AAA COUNSELING/THERAPY & SERVICES
Entity type:Organization
Organization Name:AAA COUNSELING/THERAPY & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:208-944-9418
Mailing Address - Street 1:2989 E 3600 N
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-8722
Mailing Address - Country:US
Mailing Address - Phone:208-944-9418
Mailing Address - Fax:208-944-9418
Practice Address - Street 1:2989 E 3600 N
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-8722
Practice Address - Country:US
Practice Address - Phone:208-944-9418
Practice Address - Fax:208-944-9418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-31713251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health