Healthcare Provider Details

I. General information

NPI: 1659267664
Provider Name (Legal Business Name): AMARIS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 N 3RD ST
COEUR D ALENE ID
83814-3211
US

IV. Provider business mailing address

13559 W PRAIRIE AVE
POST FALLS ID
83854-5935
US

V. Phone/Fax

Practice location:
  • Phone: 208-274-3182
  • Fax:
Mailing address:
  • Phone: 208-245-5179
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH G PATZER
Title or Position: OWNER
Credential: LCSW
Phone: 208-245-5179