ABOUT BALANCE MENTAL HEALTH LLC NPI 1265654461

NPI Information

NPI: 1265654461
Provider Name: ABOUT BALANCE MENTAL HEALTH LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
6550 EMERALD ST
SUITE 112
BOISE, ID
ZIP 83704
Phone: (208) 342-6300
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ABOUT BALANCE MENTAL HEALTH LLC is an adult mental health clinic center in Boise, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ABOUT BALANCE MENTAL HEALTH LLC NPI is 1265654461. The provider is registered as an organization entity type.

The provider's business location address is:

6550 EMERALD ST
SUITE 112
BOISE, ID
ZIP 83704
Phone: (208) 342-6300
Fax: (208) 342-6301

The provider's authorized official is Michele Dooley .
The authorized official title is Office Manager and has the following contact phone number (208) 342-6300.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/23/2018.

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	261QM0850X	Clinic/Center	Adult Mental Health			Yes
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	8073018	MEDICAID	IDAHO
2	8072938	MEDICAID	IDAHO
3	8072939	MEDICAID	IDAHO

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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