Access Behavioral Health Services
Organization Active NPI Adult Mental Health Clinic/Center · Boise, ID
NPI 1821376773 · NPPES record last updated Jul 26, 2011
Key facts
- NPI
- 1821376773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- LPC-4515 (ID)
- Legal business name
- ACCESS BEHAVIORAL HEALTH SERVICES
- Practice address
- 1276 W River St Ste 100
Boise, ID 83702-7083 - Phone
- (208) 322-4722
- NPI assigned
- Jul 26, 2011
- Organization subpart
- No
Authorized official
- Name
- Ms. Nikki Tangen
- Title
- Owner
- Phone
- (208) 322-4722
Corporate family (same tax ID) 13
Practitioners 10
-
Jennifer Janelle Goodall, LCSW
-
Tammie Haynes, BA
-
Glenn L Reese, BS
-
Amy Lynn Roberts, LCSW
National Provider Directory
- Tax ID family
- Access Behavioral Health Services
Locations
1276 W River St
Ste 100
Boise, ID 83702
Phone (208) 338-4699
1276 W River St
Boise, ID 83702
Phone (208) 338-4699
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | LPC-4515 | ID | Yes |
Addresses
Primary practice location
1276 W River St Ste 100
Boise, ID 83702-7083
Mailing address
1276 W River St
Boise, ID 83702-7066
Phone (208) 322-4722
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All providers in Boise, ID · Adult Mental Health Clinic/Center in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.