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EMALISSA BROOKE ANNE BALENTINE
NPI 1063364743
Respite Care - Respite Care, Mental Illness, Child in Lewiston, ID

Active since February 13, 2026
531 BRYDEN AVE, LEWISTON, ID 83501(208) 798-1646(208) 798-5568 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emalissa Brooke Anne Balentine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMALISSA BROOKE ANNE BALENTINE (NPI 1063364743) is an individual respite care, mental illness, child provider in Lewiston, Idaho and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1063364743
Entity TypeIndividualFemale
Primary Taxonomy385HR2055X
Provider Legal NameEMALISSA BROOKE ANNE BALENTINE
Location Address531 BRYDEN AVELewiston, ID 83501-4438
Mailing Address531 Bryden AveLewiston, ID 83501-4438 · (208) 798-1646 · Fax (208) 798-5568
Phone(208) 798-1646
Fax(208) 798-5568
Sole ProprietorYes
Enumeration DateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1063364743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility
Taxonomy Code385HR2055X
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
531 BRYDEN AVE, Lewiston, ID 83501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN MEADOWS MED
Case Manager/Care Coordinator
531 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 798-1646
LAURA BETH VERVAIN
Community Health Worker
531 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 798-1646
STACEY LYNN FORSMAN
Respite Care (Respite Care, Mental Illness, Child)
531 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 798-1646
BENJAMIN DAVID GERTHUNG LMSW
Social Worker
531 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 798-1646
MS. KATHRYN M DUMAN LSW
Social Worker
531 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 798-1646
MRS. MOLLY RENEE TUCKER L.S.W.
Social Worker
531 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 798-1646
TRISTIN KING DOMINGUEZ
Respite Care (Respite Care, Mental Illness, Child)
531 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 798-1646
SEQUOIA COUNSELING SERVICES, INC.
Counselor (Mental Health)
531 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 798-1646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emalissa Balentine's NPI number?

The NPI number for Emalissa Balentine is 1063364743. It was assigned to this individual provider in the NPPES registry on February 13, 2026.

Where is Emalissa Balentine located?

Emalissa Balentine practices at 531 Bryden Ave, Lewiston, ID 83501. The listed phone number is (208) 798-1646.

What is Emalissa Balentine's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

When was this NPI record last updated?

The NPPES record for Emalissa Balentine was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.