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NPI Code Detail

MEDICARE: TUELLER COUNSELING INC

MEDICARE: TUELLER COUNSELING INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1477766905
Entity Type Code : Organization
Provider Name (Legal Business Name) : TUELLER COUNSELING INC
Provider Business Mailing Address
First Line : 2275 W BROADWAY ST
Second Line : SUITE G
City : IDAHO FALLS
State : ID
Zip : 83402-2902
Country : US
Telephone Number : 208-524-7400
Fax Number : 208-524-8004
Provider Business Practice Location Address
First Line : 2265 W BROADWAY ST
Second Line :
City : IDAHO FALLS
State : ID
Zip : 83402-2996
Country : US
Telephone Number : 208-524-7400
Fax Number : 208-524-8004
Authorized Official
Title or Position : CFO
Name : MRS. MICHELLE TUELLER
Credential :
Telephone Number : 208-604-1927
Provider Enumeration Date : 05/08/2007
Last Update Date : 10/21/2025

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Directions to “TUELLER COUNSELING INC ” Practice Location

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