Northwest Neurobehavioral Health Pllc

LBN: Northwest Neurobehavioral Health Pllc
Northwest Neurobehavioral Health Pllc is an health care organization with primary practice located at 6003 Overland Rd Ste 301 , Boise ID 83709-3077. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Northwest Neurobehavioral Health Pllc can be contacted via phone (208) 672-8699, or through Hall, Trevor Allen via phone (208) 672-8699.

Contact Information

Primary practice address
6003 Overland Rd Ste 301 Boise ID 83709-3077
Phone: (208) 672-8699
Fax: (208) 672-9308
Website:
Map and Directions
Authorized official contact:
Name: Hall, Trevor Allen PSYD
Phone: (208) 672-8699

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY202444 Idaho

Profile Details

NPI number 1518102797
LBN Legal business name Northwest Neurobehavioral Health Pllc
DBA Doing business as
Authorized official Hall, Trevor Allen PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2008
Last updated Dec 2nd, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518102797 NPPES
Idaho Other 1306914643 IND NPI

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