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ALL SEASONS MENTAL HEALTH NPI 1538721014


NPI Information

NPI: 1538721014
Provider Name: ALL SEASONS MENTAL HEALTH
Classification: Peer Specialist - 175T00000X
Entity Type: Organization
Address:
6933 W EMERALD ST
BOISE, ID
ZIP 83704
Phone: (208) 321-0634
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ALL SEASONS MENTAL HEALTH is a peer specialist in Boise, ID. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. ALL SEASONS MENTAL HEALTH NPI is 1538721014. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6933 W EMERALD ST
BOISE, ID
ZIP 83704-616
Phone: (208) 321-0634
Fax: (208) 321-1082

The provider's authorized official is Matt W Scuri .
The authorized official title is Ceo and has the following contact phone number (208) 321-0634.

The enumeration date for this NPI number is 7/3/2019 and was last updated on 7/3/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11265565477MEDICAIDIDAHO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.