MEDICARE: ESSENCE THERAPY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1780543363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENCE THERAPY SERVICES

Provider Business Mailing Address
First Line	:	2617 SAUNTER LN
Second Line	:
City	:	POCATELLO
State	:	ID
Zip	:	83201-7927
Country	:	US
Telephone Number	:	208-244-8104
Fax Number	:

Provider Business Practice Location Address
First Line	:	1175 CALL CREEK DR STE 100G
Second Line	:
City	:	POCATELLO
State	:	ID
Zip	:	83201-3000
Country	:	US
Telephone Number	:	208-244-8104
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MS. NORMA JEAN JORDAN
Credential	:	LCSW
Telephone Number	:	208-244-8104

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ESSENCE THERAPY SERVICES ” Practice Location

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