NPI 1386297281 · live from the CMS NPI Registry
A Good Day LLC
Social Worker, Clinical in Blackfoot, ID. National Provider Identifier 1386297281, active.
NPI record
| NPI | 1386297281 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 420 W Highway 26, Blackfoot, ID 83221 |
| Practice phone | 208-520-6655 |
| Mailing address | 2678 Galway Cir, Idaho Falls, ID 83404 |
| Enumerated | July 19, 2019 |
| Last updated | July 19, 2019 |
| Authorized official | Candis Moss, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.