Awakenings Mental Health, Pllc

LBN: Awakenings Mental Health, Pllc
Awakenings Mental Health, Pllc is an health care organization with primary practice located at 6126 W State St Ofc 104 , Boise ID 83703-2741. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Awakenings Mental Health, Pllc can be contacted via phone (208) 555-5555, or through Sierra, Talia via phone (208) 631-5593.

Contact Information

Primary practice address
6126 W State St Ofc 104 Boise ID 83703-2741
Phone: (208) 555-5555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sierra, Talia Physician's Assistant Certified (PA-C)
Phone: (208) 631-5593

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1679257430
LBN Legal business name Awakenings Mental Health, Pllc
DBA Doing business as
Authorized official Sierra, Talia Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2023
Last updated Mar 1st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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