| Augustine Behavioral Health Llc | |
|
777 S Latah St Ste 108 Boise ID 83705-1501 | |
| (208) 398-0131 | |
| (208) 370-0171 |
| Full Name | Augustine Behavioral Health Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 777 S Latah St Ste 108, Boise, Idaho |
| Authorized Official Name and Position | Elizabeth Augustine (OWNER) |
| Authorized Official Contact | 2083980131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augustine Behavioral Health Llc 777 S Latah St Ste 108 Boise ID 83705-1501 Ph: (208) 398-0131 | Augustine Behavioral Health Llc 777 S Latah St Ste 108 Boise ID 83705-1501 Ph: (208) 398-0131 |
| NPI Number | 1326901257 |
|---|---|
| Provider Enumeration Date | 12/08/2025 |
| Last Update Date | 12/08/2025 |
| Certification Date | 12/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326901257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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