Healthcare Provider Details

I. General information

NPI: 1649607250
Provider Name (Legal Business Name): T HELP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2013
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4737 S AFTON PL SUITE A
CHUBBUCK ID
83202-2317
US

IV. Provider business mailing address

PO BOX 2431
POCATELLO ID
83206-2431
US

V. Phone/Fax

Practice location:
  • Phone: 208-417-0623
  • Fax: 208-417-0641
Mailing address:
  • Phone: 208-417-0623
  • Fax: 208-417-0641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TYRONE SHUMAN
Title or Position: OWNER
Credential: LCSW
Phone: 208-417-0623