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NPI 1750240610

NPI 1750240610 : TRUE NORTH MHW LLC : ATHOL, ID

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General NPI Number Information
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    NPI Number           |    1750240610
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRUE NORTH MHW LLC 
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Dates
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    Enumeration Date     |    01/16/2026
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    Last Update Date     |    02/14/2026
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Provider Practice Location Address
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    Address Line         |    29242 N ARCHER RD 
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    City                 |    ATHOL
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    State                |    ID
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    Zip                  |    83801-5405
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    Country              |    US
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    Telephone            |    208-446-6261
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 924 
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    City                 |    ATHOL
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    State                |    ID
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    Zip                  |    83801-0924
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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    |    OWNER
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    Name                 |    DR. RAJEANA  JOHNSON 
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    Credential           |    DNP, APRN, PMHNP-BC
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    Telephone            |    208-446-6261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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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        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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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        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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