Healthcare Provider Details

I. General information

NPI: 1174214290
Provider Name (Legal Business Name): PEACE AND PURPOSE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 W AMERICANA TER STE 320
BOISE ID
83706-2548
US

IV. Provider business mailing address

3811 W KOOTENAI ST
BOISE ID
83705-2143
US

V. Phone/Fax

Practice location:
  • Phone: 208-918-4429
  • Fax: 866-373-0854
Mailing address:
  • Phone: 208-859-1008
  • Fax: 866-373-0854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN J WHEELIHAN
Title or Position: OWNER
Credential: LCSW
Phone: 208-918-4429