Healthcare Provider Details

I. General information

NPI: 1497965578
Provider Name (Legal Business Name): BEHAVIORAL HEALTH SOLUTIONS P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OF PSYCHOLOGY AND COMMUNICATION STUDIES UNIVERSITY OF IDAHO
MOSCOW ID
83844-3043
US

IV. Provider business mailing address

OF PSYCHOLOGY AND COMMUNICATION STUDIES UNIVERSITY OF IDAHO
MOSCOW ID
83844-3043
US

V. Phone/Fax

Practice location:
  • Phone: 208-885-7376
  • Fax:
Mailing address:
  • Phone: 208-885-7376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC-3536
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY-204
License Number StateID

VIII. Authorized Official

Name: DR. MARK F YAMA
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 208-885-7376