ALLEGIANCE BEHAVIORAL HEALTH LLC


Address: 1010 N Orchard St Ste 1a, Boise, ID 83706-2255
Phone: 2083194394

ALLEGIANCE BEHAVIORAL HEALTH LLC (NPI# 1073150033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073150033
Entity Type Organization
Organization Name ALLEGIANCE BEHAVIORAL HEALTH LLC
Practice Address 1010 N Orchard St Ste 1a
Boise
ID 83706-2255
Practice Telephone 2083194394
Mailing Telephone 2083194394
Enumeration Date 2019-12-09
Last Update Date 2019-12-09
Authorized Official Name ALI SUBHI ABDULWAHAB (OWNER)
Authorized Official Telephone 2083194394
Authorized Official Credential MENTAL HEALTH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1010 N ORCHARD ST STE 1A
City BOISE
State ID
Zip Code 83706-2255

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1073154175 A Better Life Counseling Pllc Counselor 4948 W Kootenai St Ste 102, Boise, ID 83705-2081 2019-10-01
1265087522 Rosalie Lacivita Counselor 921 S Orchard St Ste 100, Boise, ID 83705-1916 2019-08-05
1184277618 Ann Marie Clayton Counselor 7811 W Ustick Rd Apt 101, Boise, ID 83704-5890 2019-07-23
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Competitor

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City BOISE
Zip Code 83706

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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