LEYLINE ADVOCATES LLC NPI 1114058062

NPI Information

NPI: 1114058062
Provider Name: LEYLINE ADVOCATES, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2210 BROADWAY AVE STE 202
BOISE, ID
ZIP 83706
Phone: (208) 949-3966
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LEYLINE ADVOCATES, LLC is a mental health (including community mental health center) clinic center in Boise, ID. LEYLINE ADVOCATES, LLC NPI is 1114058062. The provider is registered as an organization entity type.

The provider's business location address is:

2210 BROADWAY AVE STE 202
BOISE, ID
ZIP 83706-666
Phone: (208) 949-3966

The provider's authorized official is James Bradford Daniels .
The authorized official title is Manager and has the following contact phone number (208) 949-3966.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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