TREASURE VALLEY MENTAL HEALTH LLC NPI 1568884013

NPI Information

TREASURE VALLEY MENTAL HEALTH, LLC is a family psychologist in Boise, ID. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. TREASURE VALLEY MENTAL HEALTH, LLC NPI is 1568884013. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1475 S TYRELL LN
BOISE, ID
ZIP 83706-044
Phone: (208) 376-1611
Fax: (208) 658-1753

The provider's authorized official is Zane P Nelson .
The authorized official title is Owner/ Provider and has the following contact phone number (208) 376-1611.

The CLIA number assigned to this NPI record is 13D2176342 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/16/2014 and was last updated on 1/16/2014.

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:

Other Identifiers

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

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