Healthcare Provider Details

I. General information

NPI: 1902725518
Provider Name (Legal Business Name): SAGE & STREAM COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3596 E 800 N
MENAN ID
83434-5055
US

IV. Provider business mailing address

1846 1ST ST # 1048
IDAHO FALLS ID
83401-4415
US

V. Phone/Fax

Practice location:
  • Phone: 208-248-6488
  • Fax: 208-248-6489
Mailing address:
  • Phone: 208-248-6488
  • Fax: 208-248-6489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MEGAN HANSON BROWN
Title or Position: OWNER/CLINICAIN
Credential: LCSW
Phone: 208-248-6488