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Pro Active Advantage, Llc
Community/Behavioral Health Agency in Gooding, Idaho
NPI 1407253669

Pro Active Advantage, Llc is a Community/Behavioral Health Agency based in Twin Falls, ID. Pro Active Advantage, Llc practices in Gooding, ID. The NPI Number for Pro Active Advantage, Llc is 1407253669 and holds a License No. LPC-5654 (Idaho).

The current practice location address for Pro Active Advantage, Llc is 215 University Dr, Gooding, ID and can be reached out via phone at 208-934-5880 and via fax at 208-934-5876. You can also correspond with Pro Active Advantage, Llc through the mailing address at 562 SHOUP AVE W, TWIN FALLS, ID - 83301-5029 (mailing address contact number: 208-734-0407).

Location: 215 University Dr, Gooding, ID, 83301-5029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407253669
Provider Name
Pro Active Advantage, Llc
Credential
Provider Entity Type
Organization
Address
215 University Dr, Gooding, ID, 83301-5029
Phone Number
208-934-5880
Fax Number
208-934-5876
Provider Enumeration Date
12/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
215 University Dr
City
Gooding
State
Idaho
Zip
83330-6155
Phone Number
208-934-5880
Fax Number
208-934-5876
person
Provider Business Mailing Address Details
Address
562 Shoup Ave W
City
Twin Falls
State
Idaho
Zip
83301-5029
Phone Number
208-734-0407
Fax Number
208-734-3534
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
LPC-5654 (Idaho)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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