<Unavail>

LBN: Pride Mental Health
<Unavail> is an health care organization with primary practice located at 9488 W Fairview Ave , Boise ID 83704-8101. The organization recently has 6 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Pride Mental Health can be contacted via phone (208) 322-2929, or through Mullen, Dane M. via phone (208) 322-2928.

Contact Information

Primary practice address
9488 W Fairview Ave Boise ID 83704-8101
Phone: (208) 322-2929
Fax: (208) 322-2983
Website:
Map and Directions
Authorized official contact:
Name: Mullen, Dane M. B.S., CPRP
Phone: (208) 322-2928

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1588199277
LBN Legal business name Pride Mental Health
DBA Doing business as <Unavail>
Authorized official Mullen, Dane M. B.S., CPRP
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2017
Last updated Sep 18th, 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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