Healthcare Provider Details

I. General information

NPI: 1578674230
Provider Name (Legal Business Name): MELANY LOUELLA ARANGO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 E 17TH ST
IDAHO FALLS ID
83404-6469
US

IV. Provider business mailing address

1975 CABELLARO DR
AMMON ID
83406-6776
US

V. Phone/Fax

Practice location:
  • Phone: 208-498-0085
  • Fax:
Mailing address:
  • Phone: 208-671-5017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number4471844
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number4471844
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number4471844
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: