Healthcare Provider Details

I. General information

NPI: 1174155741
Provider Name (Legal Business Name): NOBLE INTENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 W ELDER ST STE 300
BOISE ID
83705-4986
US

IV. Provider business mailing address

3501 W ELDER ST STE 300
BOISE ID
83705-4986
US

V. Phone/Fax

Practice location:
  • Phone: 208-286-1529
  • Fax: 208-445-2285
Mailing address:
  • Phone: 208-899-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JENA KATHLEEN SCHILDHAUER
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 208-899-2227