Pro Active Behavioral Health

LBN: Pro Active Advantage, Llc
Pro Active Behavioral Health is an health care organization with primary practice located at 215 University Dr , Gooding ID 83330-6155. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Pro Active Advantage, Llc can be contacted via phone (208) 934-5880, or through Marecki, Pat via phone (208) 772-4935.

Contact Information

Primary practice address
215 University Dr Gooding ID 83330-6155
Phone: (208) 934-5880
Fax: (208) 934-5876
Website:
Map and Directions
Authorized official contact:
Name: Marecki, Pat B.S.
Phone: (208) 772-4935

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LPC-5654 Idaho

Profile Details

NPI number 1407253669
LBN Legal business name Pro Active Advantage, Llc
DBA Doing business as Pro Active Behavioral Health
Authorized official Marecki, Pat B.S.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2014
Last updated Sep 15th, 2021 - about 4 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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