Latino Stand Up Idaho Llc
Psychiatry | Child & Adolescent Clinic
1680 Woodruff Park, Idaho Falls
Idaho, 83401-3330
208-552-6373 208-552-2188
Maps & DirectionsLatino Stand Up Idaho Llc is a Psychiatry | Child & Adolescent Clinic in Idaho Falls, Idaho. It is located at 1680 Woodruff Park, Idaho Falls, ID and its contact number is 208-552-6373. The authorized person for Latino Stand Up Idaho Llc is Mr. Roger Horne
who is Owner of the clinic and his/her contact number is 910-573-0861. Other organizations associated with this clinic are Latino Stand Up Idaho Llc, Little Angels, Little Angels Llc, Latino Stand Up Idaho Llc,
Latino Stand Up Idaho Llc Clinic has mental health professionals having additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Clinic Profile:
Latino Stand Up Idaho Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Latino Stand Up Idaho Llc |
| Specialization: | Child & Adolescent |
| Clinic Address: | 1680 Woodruff Park, Idaho Falls, Idaho, 83401-3330 |
| Phone: | 208-552-6373 |
| Fax: | 208-552-2188 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Roger Horne |
| Position: | Owner |
| Contact Number: | 910-573-0861 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Latino Stand Up Idaho Llc clinic are as mentioned below.
| NPI Number: | 1043556608 |
| NPI Enumeration Date: | 28 Dec, 2012 |
| NPI Last Update On: | 23 May, 2013 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Latino Stand Up Idaho Llc | Child & Adolescent | 1043556608 |
| Little Angels | Psychiatry | 1336408632 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Latino Stand Up Idaho Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Mental Health (Including Community Mental Health Center) | | | Primary | |
| Child & Adolescent Psychiatry | | | Secondary | |
| Case Management | | | Secondary | |
| Community/behavioral Health | | | Secondary | |
| Adult Mental Health | | | Secondary | |
| Rehabilitation, Substance Use Disorder | | | Secondary | |
| Medical | | | Secondary | |
| Clinical Nurse Specialist | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Latino Stand Up Idaho Llc 1680 Woodruff Park, Idaho Falls, Idaho |
| Zip: | 83401-3330 |
| Phone Number: | 208-552-6373 |
| Fax Number: | 208-552-2188 |
Patients can reach Latino Stand Up Idaho Llc at
1680 Woodruff Park, Idaho Falls, Idaho or can
call to book an appointment on 208-552-6373.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.