| Idaho Dept Of Health & Welfare Amh Psr Boise | |
|
1720 Westgate Dr Suite B-1 Boise ID 83704-7164 | |
| (208) 334-0894 | |
| (208) 334-0804 |
| Full Name | Idaho Dept Of Health & Welfare Amh Psr Boise |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1720 Westgate Dr, Boise, Idaho |
| Authorized Official Name and Position | Gina Westcott (PROGRAM MANAGER) |
| Authorized Official Contact | 2083340969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Dept Of Health & Welfare Amh Psr Boise 1720 Westgate Dr Suite B-1 Boise ID 83704-7164 Ph: (208) 334-0894 | Idaho Dept Of Health & Welfare Amh Psr Boise 1720 Westgate Dr Suite B-1 Boise ID 83704-7164 Ph: (208) 334-0894 |
| NPI Number | 1205966157 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205966157 | NPI | - | NPPES |
| 000010018973 | Other | BLUE SHIELD | |
| HW280 | Other | BLUE CROSS OF IDAHO | |
| 0024207 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Boise Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7227 W Potomac Dr, Boise, ID 83704 Phone: 208-314-1770 | |
St. Alphonsus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Allumbaugh St, Boise, ID 83704 Phone: 208-367-3069 Fax: 208-367-3002 | |
Living Well, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6003 W Overland Rd, Suite 101, Boise, ID 83709 Phone: 208-322-2412 Fax: 208-345-2077 | |
Continual Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 N 33rd St, Boise, ID 83703 Phone: 208-340-6270 | |
Arrowleaf Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 N Allumbaugh St Ste 101, Boise, ID 83704 Phone: 208-954-5594 Fax: 208-954-5598 | |
Sara Hill, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1414 W Franklin St, Boise, ID 83702 Phone: 208-336-4999 | |
Lea Bowman Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2714 N Tamarack Dr, Boise, ID 83703 Phone: 208-576-7411 |