Healthcare Provider Details

I. General information

NPI: 1285488981
Provider Name (Legal Business Name): A WAY THROUGH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 W SANETTA ST
NAMPA ID
83651-5047
US

IV. Provider business mailing address

1016 W SANETTA ST
NAMPA ID
83651-5047
US

V. Phone/Fax

Practice location:
  • Phone: 208-615-1313
  • Fax: 208-960-1775
Mailing address:
  • Phone: 208-615-1313
  • Fax: 208-960-1775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. BARRY GRANT BROOKS
Title or Position: EXECUTIVE DIRECTOR/OWNER
Credential: LCPC
Phone: 208-615-3567