Healthcare Provider Details

I. General information

NPI: 1568641470
Provider Name (Legal Business Name): HIS IDEAS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 ANTELOPE BLVD STE 40A
RED BLUFF CA
96080-2477
US

IV. Provider business mailing address

PO BOX 950 590 ANTELOPE BLVD BUILDING B SUITE 30
RED BLUFF CA
96080-0950
US

V. Phone/Fax

Practice location:
  • Phone: 530-529-9454
  • Fax: 530-529-9456
Mailing address:
  • Phone: 530-529-9454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHANNON PIERCE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.S.PSY
Phone: 530-528-2938