OrganizationActive
Mindful Mood Psychiatry, PLLC
NPI 1811799398 · Adult Mental Health Clinic/Center · Rexburg, ID
Provider details
- NPI number
- 1811799398
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Andrus, Pmhnp(208) 557-9572
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
534 Trejo Street
Suite 100
Rexburg, ID 83440
Phone: (208) 206-7066
Approximate (ZIP-level) locationGet directions
Mailing address
1846 1st St # 1031
Idaho Falls, ID 83401-4415
Registry dates
- Enumerated
- 2025-03-26
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.