BANYAN TREE WELLNESS, PLLC
NPI 1164047460
Community/Behavioral Health in Boise, ID

Q: What is Banyan Tree Wellness, PLLC's NPI number?

The NPI number for Banyan Tree Wellness, PLLC is 1164047460. It was assigned to this organization in the NPPES registry on June 11, 2020.

Q: What is Banyan Tree Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 11, 2020

410 S ORCHARD ST STE 124, BOISE, ID 83705(208) 398-0826 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Jun 11, 2020 (2 updates tracked since 2020).

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About Banyan Tree Wellness, Pllc NPPES

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

BANYAN TREE WELLNESS, PLLC (NPI 1164047460) is a healthcare organization registered as a community/behavioral health in Boise, Idaho and active in the NPI registry since June 2020. The organization lists Billylynn Pestell, Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1164047460

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBANYAN TREE WELLNESS, PLLC

Location Address410 S ORCHARD ST STE 124Boise, ID 83705-1210

Mailing Address410 S Orchard St Ste 124Boise, ID 83705-1210 · (208) 398-0826

Phone(208) 398-0826

Organization SubpartNo

Authorized OfficialBillylynn PestellTherapist/owner · (208) 398-0826

Enumeration DateJune 11, 2020

Last NPPES UpdateJune 5, 20242 updates tracked since enumeration

NPPES CertifiedAugust 24, 2023

✔ NPI 1164047460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

410 S ORCHARD ST STE 124, Boise, ID 83705

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Other Identifiers 1

Other1497318802MT · Npi

Other Providers at the Same Location NPPES 8

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

BILLYLYNN LEIUILANI HAN PESTELL LCSW

Social Worker (Clinical)