STATE AVENUE OFFICES NPI 1821344367

NPI Information

NPI: 1821344367
Provider Name: STATE AVENUE OFFICES
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
39 E STATE AVE
MERIDIAN, ID
ZIP 83642
Phone: (208) 994-3599
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STATE AVENUE OFFICES is an adult mental health clinic center in Meridian, 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. STATE AVENUE OFFICES NPI is 1821344367. The provider is registered as an organization entity type.

The provider's business location address is:

39 E STATE AVE
MERIDIAN, ID
ZIP 83642-342
Phone: (208) 994-3599
Fax: (208) 473-2206

The provider's authorized official is Camilla J Cafferty .
The authorized official title is Owner and has the following contact phone number (208) 994-3599.

The enumeration date for this NPI number is 8/2/2012 and was last updated on 10/9/2012.

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

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: 11/14/2023

NPI Synchronization or Removal

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