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General NPI Number Information
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NPI Number | 1164286092
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH SOLUTIONS OF IDAHO
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 4477 W EMERALD ST STE C100
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City | BOISE
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State | ID
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Zip | 83706-2058
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Country | US
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Telephone | 833-719-0886
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14099
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City | BELFAST
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State | ME
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Zip | 04915-4034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CCRCM
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Name | KRISTA HUEY
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Credential |
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Telephone | 702-589-4871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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