Pacific Mind Institute

LBN: Pacific Mind Institute
Pacific Mind Institute is an health care organization with primary practice located at 2596 N Stokesberry Pl Ste 165 , Meridian ID 83646-6281. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Pacific Mind Institute can be contacted via phone (208) 631-0843, or through Van Leuven, Erica Jane via phone (208) 631-0843.

Contact Information

Primary practice address
2596 N Stokesberry Pl Ste 165 Meridian ID 83646-6281
Phone: (208) 631-0843
Fax: (208) 906-0807
Website:
Map and Directions
Authorized official contact:
Name: Van Leuven, Erica Jane LCPC
Phone: (208) 631-0843

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1346759495
LBN Legal business name Pacific Mind Institute
DBA Doing business as
Authorized official Van Leuven, Erica Jane LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2017
Last updated Jul 21st, 2022 - about 3 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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