ABOUT BALANCE MENTAL HEALTH LLC


Address: 6550 Emerald St, Suite 112, Boise, ID 83704
Phone: 2083426300

ABOUT BALANCE MENTAL HEALTH LLC (NPI# 1265654461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265654461
Entity Type Organization
Organization Name ABOUT BALANCE MENTAL HEALTH LLC
Practice Address 6550 Emerald St
Suite 112
Boise
ID 83704
Practice Telephone 2083426300
Practice Fax Number 2083426301
Mailing Telephone 2083426300
Mailing Fax Number 2083426301
Enumeration Date 2007-05-03
Last Update Date 2018-05-23
Authorized Official Name MICHELE DOOLEY (OFFICE MANAGER)
Authorized Official Telephone 2083426300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID 8072939 05
ID 8073018 05
ID 8072938 05

Office Location

Street Address 6550 EMERALD ST
SUITE 112
City BOISE
State ID
Zip Code 83704

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1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1588164727 Cory Michael Sims Counselor 6550 W. Emerald St #112, Boise, ID 83704 2018-02-14
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1942735949 Dalana Sue Thompson Counselor 9196 Emerald St Suite #130, Boise, ID 83704 2017-04-27
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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1144843285 Whole Health Counseling LLC Clinic/Center 2616 W Jefferson St, Boise, ID 83702-4713 2020-05-23
1033740865 Jackie Nelson, Pllc Clinic/Center 202 N 9th St Ste 401c, Boise, ID 83702-5770 2020-01-30
1073891917 Access Behavioral Health Services Inc. Clinic/Center 11295 W Abram Dr, Boise, ID 83713-6013 2011-07-26
1871799056 Community Health Clinics Inc Clinic/Center 848 La Cassia Dr, Boise, ID 83705-2253 2007-06-25
1922669373 Blue Hummingbird Counseling & Wellness LLC Clinic/Center 1524 W Hays St Ste 201, Boise, ID 83702-4035 2019-06-26
1730742016 Kimberly Hinrichs Pllc Clinic/Center 204 S Cole Rd, Boise, ID 83709-0934 2019-04-22
1922582501 Integrity Psychiatric Services, LLC Clinic/Center 5440 W Franklin Rd Ste 108, Boise, ID 83705-6433 2018-09-19
1477049492 Idaho Trauma Therapy LLC Clinic/Center 6126 W State St Ste 109, Boise, ID 83703-2741 2018-07-02
1821376773 Access Behavioral Health Services Clinic/Center 1276 W River St Ste 100, Boise, ID 83702-7083 2011-07-26
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Competitor

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City BOISE
Zip Code 83704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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