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BROADER WELLNESS, LLC
NPI 1689480030
Clinic/Center - Mental Health (Including Community Mental Health Center) in Boise, ID

Active since December 09, 2024
3350 W AMERICANA TER STE 210A, BOISE, ID 83706(986) 279-3252(208) 908-0034 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broader Wellness, Llc NPPES

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

BROADER WELLNESS, LLC (NPI 1689480030) is a healthcare organization registered as a mental health (including community mental health center) in Boise, Idaho and active in the NPI registry since December 2024. The organization lists Stacey Martinez, Llc Member/manager, as its authorized official.

NPPES Registry Identity

NPI1689480030
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBROADER WELLNESS, LLC
Location Address3350 W AMERICANA TER STE 210ABoise, ID 83706-2521
Mailing AddressPo Box 6421Boise, ID 83707-6421 · (986) 279-3252 · Fax (208) 908-0034
Phone(986) 279-3252
Fax(208) 908-0034
Organization SubpartNo
Authorized OfficialStacey MartinezLlc Member/manager · (986) 279-3252
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
✔ NPI 1689480030 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
3350 W AMERICANA TER STE 210A, Boise, ID 83706
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Other Providers at the Same Location NPPES 5

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

SOUL GOOD COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (208) 513-4791
STACEY ANN MARTINEZ LCPC
Counselor (Professional)
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (986) 279-3252
KEVIN EARL L.M.T.
Massage Therapist
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (208) 509-1811
JULIE SEVERSON LCPC
Counselor (Mental Health)
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (208) 623-8530
JESSICA AYERS LPC 9312
Counselor
3350 W AMERICANA TER STE 210A
BOISE, ID 83706
Ada County (208) 513-4791

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 Broader Wellness, LLC's NPI number?

The NPI number for Broader Wellness, LLC is 1689480030. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Broader Wellness, LLC located?

Broader Wellness, LLC is located at 3350 W Americana Ter Ste 210A, Boise, ID 83706. The listed phone number is (986) 279-3252.

What is Broader Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Broader Wellness, LLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.