Avanzar Wellness Llc

LBN: Avanzar Wellness Llc
Avanzar Wellness Llc is an health care organization with primary practice located at 10096 W Fairview Ave Ste 160 , Boise ID 83704-5004. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Avanzar Wellness Llc can be contacted via phone (208) 908-7882, or through Carbajal, Jose via phone (208) 908-7882.

Contact Information

Primary practice address
10096 W Fairview Ave Ste 160 Boise ID 83704-5004
Phone: (208) 908-7882
Fax: (208) 908-7883
Website:
Map and Directions
Authorized official contact:
Name: Carbajal, Jose MS
Phone: (208) 908-7882

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1871126797
LBN Legal business name Avanzar Wellness Llc
DBA Doing business as
Authorized official Carbajal, Jose MS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2020
Last updated Jul 5th, 2024 - about 2 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers