Bohnenkamp Behavioral Health
LBN: Bohnenkamp Behavioral Health Llc
Bohnenkamp Behavioral Health is an health care organization with primary practice located at 609 Bryden Ave Ste B , Lewiston ID 83501-5193. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Bohnenkamp Behavioral Health Llc can be contacted via phone (208) 553-3776, or through Bohnenkamp, Rebecca Ann via phone (208) 553-3776.
Contact Information
Primary practice address
609 Bryden Ave Ste B
Lewiston ID 83501-5193
Phone: (208) 553-3776
Fax: (208) 413-9976
Website:
Authorized official contact:
Name: Bohnenkamp, Rebecca Ann Licensed Clinical Social Worker (LCSW)
Phone: (208) 553-3776
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1982268553 |
|---|---|
| LBN Legal business name | Bohnenkamp Behavioral Health Llc |
| DBA Doing business as | Bohnenkamp Behavioral Health |
| Authorized official | Bohnenkamp, Rebecca Ann Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 29th, 2019 |
| Last updated | Feb 9th, 2022 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982268553 | NPPES |
| Idaho | Other | LCSW-33391 | IDAHO BUREAU OF OCCUPATIONAL LICENSES |
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