Healthcare Provider Details

I. General information

NPI: 1437785698
Provider Name (Legal Business Name): WRIGHT STEP COUNSELING AND RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2020
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1908 JENNIE LEE DR
IDAHO FALLS ID
83404-6159
US

IV. Provider business mailing address

1908 JENNIE LEE DR
IDAHO FALLS ID
83404-6159
US

V. Phone/Fax

Practice location:
  • Phone: 208-520-7074
  • Fax: 208-970-6188
Mailing address:
  • Phone: 208-520-7074
  • Fax: 208-970-6188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: CARRIE WRIGHT
Title or Position: OWNER
Credential: LCSW
Phone: 208-520-7074