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NPI 1992487615 · live from the CMS NPI Registry

4 Pillars Of Success LLC

Clinic/Center in Ammon, ID. National Provider Identifier 1992487615, active.

NPI record

NPI1992487615 Type 2 · organization
StatusActive
Primary specialtyClinic/Center 261Q00000X
Practice location1619 Curlew Dr Ste 7, Ammon, ID 83406
Practice phone208-523-5319
Mailing addressPo Box 2106, Idaho Falls, ID 83403
EnumeratedAugust 2, 2023
Last updatedJanuary 7, 2026
Authorized officialDemi Echi-Aboli, Billing Department Director
Other namesRehabilitative Health Services

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker104100000X—
Social Worker, Clinical1041C0700X—
Clinic/Center primary261Q00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.