IDAHO TRAUMA THERAPY LLC
NPI 1477049492
Clinic/Center - Mental Health (Including Community Mental Health Center) in Boise, ID
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About IDAHO TRAUMA THERAPY LLC
This page provides the complete NPI Profile along with additional information for Idaho Trauma Therapy Llc, a provider established in Boise, Idaho operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1477049492 assigned on July 2018. The practitioner's primary taxonomy code is 261QM0801X with license number LPC-6772 (ID). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mrs. Hillary Dawn Cook Lpc (Owner)
- NPI
- 1477049492 Verify this NPI
- Provider Name
- IDAHO TRAUMA THERAPY LLC
- Entity Type
- Organization
- Location Address
- 6126 W STATE ST STE 109 BOISE, ID 83703
- Location Phone
- (208) 391-2957
- Mailing Address
- 6126 W STATE ST STE 109 BOISE, ID 83703
- Mailing Phone
- (208) 391-2957
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2018
- Last Update Date
- 07-02-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- LPC-6772
- License State
- ID
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | LPC-6772 (ID) |
| 2 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | LPC-6772 (ID) |
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477049492, enumerated as an "organization" on July 02, 2018.
The provider is located at 6126 W STATE ST STE 109 BOISE, ID 83703 and the phone number is (208) 391-2957.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
