MRS. AMY RAE WANSTROM LPC - NPI 1639870462 - Counselor in Pocatello, ID

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Mrs. Amy Rae Wanstrom Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMY RAE WANSTROM LPC (NPI 1639870462) is an individual professional provider in Pocatello, Idaho, licensed in Idaho (LPC-9391) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1639870462

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. AMY RAE WANSTROMCredential: LPC

Location Address1800 GARRETT WAY STE 47Pocatello, ID 83201-5132

Mailing Address358 N 200 WBlackfoot, ID 83221-5703 · (208) 604-0753

Phone(208) 252-6464

Sole ProprietorYes

Enumeration DateMarch 17, 2023

NPPES CertifiedMarch 17, 2023

✔ NPI 1639870462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ID · LPC-9391

1800 GARRETT WAY STE 47, Pocatello, ID 83201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREEDOM RECOVERY LLC

Substance Abuse Rehabilitation Facility

1800 GARRETT WAY STE 47
POCATELLO, ID 83201

Bannock County (208) 252-6464

ASHLYN ALEXIS WILLARD

Social Worker (Clinical)

1800 GARRETT WAY STE 47
POCATELLO, ID 83201

Bannock County (208) 595-6732

Frequently Asked Questions

What is Amy Wanstrom's NPI number?

The NPI number assigned to this healthcare provider is 1639870462, enumerated as an "individual" on March 17, 2023.

Where is the provider located?

The provider is located at 1800 GARRETT WAY STE 47 POCATELLO, ID 83201 and the phone number is (208) 252-6464.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does Amy Wanstrom accept?

The provider might be accepting Accepts: Providence Health Plan and University of Utah. Please consult your insurance carrier or call the provider to verify.