EVERGREEN BEHAVIORAL HEALTH NPI 1831520543

NPI Information

  • NPI: 1831520543
  • Provider Name: EVERGREEN BEHAVIORAL HEALTH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 226 EVERGREEN DR
    BOISE, ID
    ZIP 83716
  • Phone: (208) 890-3787

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NPI Details

EVERGREEN BEHAVIORAL HEALTH is a mental health counselor in Boise, ID. EVERGREEN BEHAVIORAL HEALTH NPI is 1831520543. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

226 EVERGREEN DR
BOISE, ID
ZIP 83716-024
Phone: (208) 890-3787
Fax: (208) 350-4379

The provider's authorized official is Bryan William Beddoes .
The authorized official title is Counselor and has the following contact phone number (208) 890-3787.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLPC-5105IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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