WELLSPACE LLC NPI 1912891433

NPI Information

  • NPI: 1912891433
  • Provider Name: WELLSPACE LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1523 E BOISE AVE
    BOISE, ID
    ZIP 83706
  • Phone: (208) 918-2588

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NPI Details

WELLSPACE 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. WELLSPACE LLC NPI is 1912891433. The provider is registered as an organization entity type.

The provider's business location address is:

1523 E BOISE AVE
BOISE, ID
ZIP 83706-064
Phone: (208) 918-2588

The provider's authorized official is April V Rose .
The authorized official title is Member and has the following contact phone number (208) 918-2588.

The enumeration date for this NPI number is 6/9/2025 and was last updated on 6/9/2025.

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
1103TC0700XPsychologistClinicalNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0850XClinic/CenterAdult Mental HealthYes

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: 11/21/2025

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