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General NPI Number Information
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NPI Number | 1396658407
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Entity Type | Organization
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Legal Business Name | COMPANIONSHIP LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2304 N COLE RD STE C
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City | BOISE
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State | ID
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Zip | 83704-7371
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Country | US
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Telephone | 208-968-1261
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Fax |
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Provider Business Mailing Address
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Address Line | 3432 E SHERMAN AVE
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City | NAMPA
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State | ID
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Zip | 83687-8982
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Country | US
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Telephone | 208-968-1261
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALAIN CLEMENTS
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Credential |
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Telephone | 208-968-1261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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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 | NULL
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