Healthcare Provider Details

I. General information

NPI: 1063375079
Provider Name (Legal Business Name): TONEY MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5498 N SAGUARO HILLS AVE
MERIDIAN ID
83646-5538
US

IV. Provider business mailing address

5498 N SAGUARO HILLS AVE
MERIDIAN ID
83646-5538
US

V. Phone/Fax

Practice location:
  • Phone: 208-484-2419
  • Fax:
Mailing address:
  • Phone: 208-484-2419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH G. TONEY
Title or Position: OWNER
Credential:
Phone: 208-573-1979