Haven Behavioral Outpatient Services Of Boise, Llc

Specialty details in registry · Boise, ID

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At a glance

1919 W State St, Boise, ID 83702-3958

NPPES record updated Mar 22, 2022. Public records can lag behind changes at a practice.

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Practice location

1919 W State St
Boise, ID 83702-3958
Professional details: NPI, taxonomy & registry record
NPI1619534609
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
May 24, 2019
Record updated
Mar 22, 2022
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

101Y00000X

Psychiatry

2084P0800X

Specialty details in registry

251S00000X · Primary

Specialty details in registry

261QM0801X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1919 W State St
Boise, ID 83702-3958
Phone
(208) 813-6246
Mailing address
3102 W END AVE STE 1000

NASHVILLE, TN 372031324
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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