PRIDE MENTAL HEALTH LLC


Address: 8310 W Ustick Rd, Suite 300, Boise, ID 83704-5979
Phone: 2088991510

PRIDE MENTAL HEALTH LLC (NPI# 1588199277) 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) 1588199277
Entity Type Organization
Organization Name PRIDE MENTAL HEALTH LLC
Other Organization Name PRIDE MENTAL HEALTH
Practice Address 8310 W Ustick Rd
Suite 300
Boise
ID 83704-5979
Mailing Address 1553 N Milwaukee St
Suite 310
Boise
ID 83704-8471
Practice Telephone 2088991510
Mailing Telephone 2088991510
Enumeration Date 2017-05-01
Last Update Date 2017-05-01
Authorized Official Name MR. DANE M. MULLEN (OWNER/OPERATOR)
Authorized Official Telephone 2088991510
Authorized Official Credential B.S., CPRP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Pride Mental Health Doing Business As Name - Organization

Office Location

Street Address 8310 W USTICK RD
SUITE 300
City BOISE
State ID
Zip Code 83704-5979

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053938779 Halo Health Services LLC Community/Behavioral Health 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 2020-06-29
1245854454 Ken Wells Counseling Community/Behavioral Health 6654 E Bend Ridge St, Boise, ID 83716-5623 2020-06-03
1083236079 Nakale Ball Community/Behavioral Health 3861 N Maple Grove Rd, Boise, ID 83704-4227 2020-05-12
1043859002 Kacey E Mueller Community/Behavioral Health 688 N Avenue H Apt 304, Boise, ID 83712-6471 2019-12-22
1407499270 Acceptance Counseling Services Community/Behavioral Health 5440 W Franklin Rd Ste 200, Boise, ID 83705-6434 2019-10-23
1154817021 Hand In Hand Community/Behavioral Health 1830 W Airport Way, Boise, ID 83705-5101 2018-07-03
1982126264 Brc Mental Health Services Community/Behavioral Health 963 S Orchard St Ste 103, Boise, ID 83705-1917 2017-07-08
1689109613 Mrl Counseling LLC Community/Behavioral Health 9442 W Fairview Ave, Boise, ID 83704-8101 2017-04-27
1639601636 Family Connection, Inc. Community/Behavioral Health 7154 W State St # 278, Boise, ID 83714-7421 2017-03-29
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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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