Healthcare Provider Details

I. General information

NPI: 1083981146
Provider Name (Legal Business Name): FAMILY SERVICES TREATMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2011
Last Update Date: 06/09/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2031 E QUAIL RUN RD
EMMETT ID
83617-5059
US

IV. Provider business mailing address

2031 E QUAIL RUN RD
EMMETT ID
83617-5059
US

V. Phone/Fax

Practice location:
  • Phone: 208-365-2525
  • Fax: 208-365-2234
Mailing address:
  • Phone: 208-365-2525
  • Fax: 208-365-2234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. APRIL BROWNE
Title or Position: OWNER
Credential: LCSW
Phone: 208-365-2525