Healthcare Provider Details

I. General information

NPI: 1841780475
Provider Name (Legal Business Name): ALWAYS A WAY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 S ORCHARD ST STE 101
BOISE ID
83705-1916
US

IV. Provider business mailing address

921 S ORCHARD ST STE 101
BOISE ID
83705-1916
US

V. Phone/Fax

Practice location:
  • Phone: 208-420-3018
  • Fax:
Mailing address:
  • Phone: 208-703-7357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEGOLIA M JOHNSON
Title or Position: OWNER
Credential: LMSW
Phone: 208-761-3593