institution
Bohnenkamp Behavioral Health Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Lewiston, Idaho
NPI 1982268553

Bohnenkamp Behavioral Health Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lewiston, ID and is specialized in Mental Health (Including Community Mental Health Center). Bohnenkamp Behavioral Health Llc practices in Lewiston, ID. The NPI Number for Bohnenkamp Behavioral Health Llc is 1982268553 and holds a License No. (Idaho).

The current practice location address for Bohnenkamp Behavioral Health Llc is 609 Bryden Ave Ste B, Lewiston, ID and can be reached out via phone at 208-553-3776 and via fax at 208-413-9976. You can also correspond with Bohnenkamp Behavioral Health Llc through the mailing address at 609 BRYDEN AVE STE B, LEWISTON, ID - 83501-5193 (mailing address contact number: 208-553-3776).

Location: 609 Bryden Ave Ste B, Lewiston, ID, 83501-5193
institution
Provider Profile Details
NPI Number
1982268553
Provider Name
Bohnenkamp Behavioral Health Llc
Credential
Provider Entity Type
Organization
Address
609 Bryden Ave Ste B, Lewiston, ID, 83501-5193
Phone Number
208-553-3776
Fax Number
208-413-9976
Provider Enumeration Date
04/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCSW-33391 01 ID IDAHO BUREAU OF OCCUPATIONAL LICENSES
institution
Provider Business Practice Location Address Details
Address
609 Bryden Ave Ste B
City
State
Zip
83501-5193
Phone Number
208-553-3776
Fax Number
208-413-9976
person
Provider Business Mailing Address Details
Address
609 Bryden Ave Ste B
City
State
Zip
83501-5193
Phone Number
208-553-3776
Fax Number
208-413-9976
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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