TREASURE VALLEY NEUROTHERAPY LLC
NPI 1508647025
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hayden Lake, ID

Active since October 10, 2023
1677 E MILES AVE STE 100, HAYDEN LAKE, ID 83835(208) 631-1089 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Treasure Valley Neurotherapy Llc NPPES

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

TREASURE VALLEY NEUROTHERAPY LLC (NPI 1508647025) is a healthcare organization registered as a mental health (including community mental health center) in Hayden Lake, Idaho and active in the NPI registry since October 2023. The organization lists Sarah Jordan, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1508647025
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameTREASURE VALLEY NEUROTHERAPY LLC
Location Address1677 E MILES AVE STE 100Hayden Lake, ID 83835-9154
Mailing Address1869 E Seltice Way # 334Post Falls, ID 83854-7019 · (208) 631-1089
Organization SubpartNo
Authorized OfficialSarah JordanClinical Director · (208) 631-1089
Enumeration DateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
NPI 1508647025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1677 E MILES AVE STE 100, Hayden Lake, ID 83835

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508647025, enumerated as an "organization" on October 10, 2023.

The provider is located at 1677 E MILES AVE STE 100 HAYDEN LAKE, ID 83835 and the phone number is (208) 631-1089.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).