| Treasure Valley Mental Health, Llc | |
|
1475 S Tyrell Ln Boise ID 83706-4044 | |
| (208) 376-1611 | |
| (208) 658-1753 |
| Full Name | Treasure Valley Mental Health, Llc |
|---|---|
| Speciality | Psychologist - Family |
| Location | 1475 S Tyrell Ln, Boise, Idaho |
| Authorized Official Name and Position | Zane P Nelson (OWNER/ PROVIDER) |
| Authorized Official Contact | 2083761611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Mental Health, Llc 335 N Allumbaugh St Boise ID 83704-9208 Ph: (208) 365-1611 | Treasure Valley Mental Health, Llc 1475 S Tyrell Ln Boise ID 83706-4044 Ph: (208) 376-1611 |
| NPI Number | 1568884013 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 01/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568884013 | NPI | - | NPPES |
| 1680324 | Other | ID | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | PSY84 (Idaho) | Primary |
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