Healthcare Provider Details

I. General information

NPI: 1720945272
Provider Name (Legal Business Name): HOLDING CENTER MENTAL HEALTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 RED BLUFF RD
BOISE ID
83716-3101
US

IV. Provider business mailing address

20 RED BLUFF RD
BOISE ID
83716-3101
US

V. Phone/Fax

Practice location:
  • Phone: 801-792-9157
  • Fax:
Mailing address:
  • Phone: 801-792-9157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JESSICA JENSEN
Title or Position: LCSW/THERAPIST
Credential: LCSW
Phone: 801-792-9157