Basic Information
| Provider Information | |||||||||
| NPI: | 1821117664 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARRI | ||||||||
| FirstName: | LOUIS | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | CSWP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1612 | ||||||||
| Address2: | |||||||||
| City: | IDAHO FALLS | ||||||||
| State: | ID | ||||||||
| PostalCode: | 834031612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2085252090 | ||||||||
| FaxNumber: | 2085252662 | ||||||||
| Practice Location | |||||||||
| Address1: | 50 SKI HILL RD | ||||||||
| Address2: | |||||||||
| City: | DRIGGS | ||||||||
| State: | ID | ||||||||
| PostalCode: | 83422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2083543128 | ||||||||
| FaxNumber: | 2083543128 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | CSWP-468-C | ID | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.