Provider Demographics
NPI:1598578569
Name:THE ROCK BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:THE ROCK BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARCOURT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC
Authorized Official - Phone:208-220-3886
Mailing Address - Street 1:2114 VILLAGE PARK AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-4172
Mailing Address - Country:US
Mailing Address - Phone:208-441-0767
Mailing Address - Fax:208-441-0367
Practice Address - Street 1:2114 VILLAGE PARK AVE STE 200
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-4172
Practice Address - Country:US
Practice Address - Phone:208-441-0767
Practice Address - Fax:208-441-0367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty