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HEALTHY MIND BEHAVIORAL HEALTH CLINIC LLC
NPI 1710766159
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Family in Boise, ID

Active since September 25, 2023
9492 W FAIRVIEW AVE, BOISE, ID 83704(208) 284-7100(208) 213-3659 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Oct 11, 2023 (2 updates tracked since 2023).

About Healthy Mind Behavioral Health Clinic Llc NPPES

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

HEALTHY MIND BEHAVIORAL HEALTH CLINIC LLC (NPI 1710766159) is a healthcare organization registered as a psychiatric/mental health, child & family in Boise, Idaho and active in the NPI registry since September 2023. The organization lists Christopher Munga Gakwa, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1710766159
Entity TypeOrganization
Primary Taxonomy364SP0810X
Legal Business NameHEALTHY MIND BEHAVIORAL HEALTH CLINIC LLC
Location Address9492 W FAIRVIEW AVEBoise, ID 83704-8101
Mailing Address9492 W Fairview AveBoise, ID 83704-8101 · (208) 284-7100 · Fax (208) 213-3659
Phone(208) 284-7100
Fax(208) 213-3659
Organization SubpartNo
Authorized OfficialChristopher Munga GakwaPmhnp · (208) 284-7100
Enumeration DateSeptember 25, 2023
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1710766159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0810X
9492 W FAIRVIEW AVE, Boise, ID 83704
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

EVERLINE MORAA NYAKUNDI NP
Nurse Practitioner (Family)
9492 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 376-2485
GOLDEN ANGEL MEDICAL TRANSPORT LCC
Non-emergency Medical Transport (VAN)
9492 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 440-6545
WILLOW GROVE WELLNESS
Community/Behavioral Health
9492 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 809-4426
4MAPLE HAVEN
Community/Behavioral Health
9492 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 936-0670
ADVENTURE PEDIATRIC THERAPY LLC
Clinic/Center (Health Service)
9492 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 495-6715
ROCK BOTTOM RECOVERY AND TREATMENT SERVICES PLLC
Substance Abuse Rehabilitation Facility
9492 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 440-6545
WILLOW OAKS HEALTH
Social Worker
9492 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 515-4936
PRESTON-WOOD AND ASSOCIATES, LLC
In Home Supportive Care
9492 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 888-9962

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 Healthy Mind Behavioral Health Clinic LLC's NPI number?

The NPI number for Healthy Mind Behavioral Health Clinic LLC is 1710766159. It was assigned to this organization in the NPPES registry on September 25, 2023.

Where is Healthy Mind Behavioral Health Clinic LLC located?

Healthy Mind Behavioral Health Clinic LLC is located at 9492 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 284-7100.

What is Healthy Mind Behavioral Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Family, with taxonomy code 364SP0810X.

When was this NPI record last updated?

The NPPES record for Healthy Mind Behavioral Health Clinic LLC was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.