Healthcare Provider Details

I. General information

NPI: 1528972635
Provider Name (Legal Business Name): JAMIE PERRY CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 W SANETTA ST STE 4
NAMPA ID
83651-5047
US

IV. Provider business mailing address

1509 FAIRVIEW AVE
CALDWELL ID
83605-4609
US

V. Phone/Fax

Practice location:
  • Phone: 208-614-4122
  • Fax: 208-955-2025
Mailing address:
  • Phone: 208-614-4122
  • Fax: 208-955-2025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAMIE PERRY
Title or Position: OWNER
Credential: LCSW
Phone: 208-936-8843