Healthcare Provider Details

I. General information

NPI: 1326746199
Provider Name (Legal Business Name): WELLNESS PARTNERS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 W JEFFERSON ST
BOISE ID
83702-5320
US

IV. Provider business mailing address

1317 W JEFFERSON ST
BOISE ID
83702-5320
US

V. Phone/Fax

Practice location:
  • Phone: 208-900-8080
  • Fax: 208-314-6869
Mailing address:
  • Phone: 208-900-8080
  • Fax: 208-314-6869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CRISTA MOORE MURRAY
Title or Position: OWNER
Credential: PSYD
Phone: 858-229-4081