Healthcare Provider Details

I. General information

NPI: 1154441319
Provider Name (Legal Business Name): V & T MENTAL HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3307 CALDWELL BLVD STE # 104
NAMPA ID
83651-6402
US

IV. Provider business mailing address

3307 CALDWELL BLVD STE # 104
NAMPA ID
83651-6402
US

V. Phone/Fax

Practice location:
  • Phone: 208-463-7719
  • Fax: 208-463-7750
Mailing address:
  • Phone: 208-463-7719
  • Fax: 208-463-7750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KADE PRICE
Title or Position: OPERATIONAL DIRECTOR
Credential:
Phone: 208-463-7719