Healthcare Provider Details

I. General information

NPI: 1083126023
Provider Name (Legal Business Name): TOTIUS THERAPIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E LOGAN ST STE 201
CALDWELL ID
83605-4883
US

IV. Provider business mailing address

211 E LOGAN ST STE 201
CALDWELL ID
83605-4883
US

V. Phone/Fax

Practice location:
  • Phone: 208-454-1480
  • Fax: 208-268-8444
Mailing address:
  • Phone: 208-454-1480
  • Fax: 208-268-8444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DAVID ROUTT
Title or Position: PRESIDENT
Credential:
Phone: 208-454-1480