Healthcare Provider Details

I. General information

NPI: 1003723008
Provider Name (Legal Business Name): TREASURE VALLEY ASSESSMENTS & COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 W HENRYS FORK DR
MERIDIAN ID
83642-7323
US

IV. Provider business mailing address

1731 W HENRYS FORK DR
MERIDIAN ID
83642-7323
US

V. Phone/Fax

Practice location:
  • Phone: 208-539-8849
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELISSA ANDRUSHKO
Title or Position: OWNER
Credential: LMSW
Phone: 208-539-8849