Healthcare Provider Details

I. General information

NPI: 1588571590
Provider Name (Legal Business Name): AVIDITY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 SHOUP AVE STE 219
IDAHO FALLS ID
83402-3577
US

IV. Provider business mailing address

535 MEADOW AVE
RIGBY ID
83442-5755
US

V. Phone/Fax

Practice location:
  • Phone: 208-206-3742
  • Fax:
Mailing address:
  • Phone: 208-206-3742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: EMILY JILL THOMAS
Title or Position: OWNER
Credential: LCPC
Phone: 208-206-3742