Healthcare Provider Details

I. General information

NPI: 1396658407
Provider Name (Legal Business Name): COMPANIONSHIP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 N COLE RD STE C
BOISE ID
83704-7371
US

IV. Provider business mailing address

3432 E SHERMAN AVE
NAMPA ID
83687-8982
US

V. Phone/Fax

Practice location:
  • Phone: 208-968-1261
  • Fax:
Mailing address:
  • Phone: 208-968-1261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALAIN CLEMENTS
Title or Position: DIRECTOR
Credential:
Phone: 208-968-1261