Canopy Behavioral Health, Pllc
LBN: Canopy Behavioral Health, Pllc
Canopy Behavioral Health, Pllc is an health care organization with primary practice located at 750 W Ustick Rd Ste 120 , Meridian ID 83646-6133. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty.
Canopy Behavioral Health, Pllc can be contacted via phone (208) 273-9521, or through Szudera, John William via phone (208) 273-9521.
Contact Information
Primary practice address
750 W Ustick Rd Ste 120
Meridian ID 83646-6133
Phone: (208) 273-9521
Fax: (208) 502-2538
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
NPI number | 1861962698 |
---|---|
LBN Legal business name | Canopy Behavioral Health, Pllc |
DBA Doing business as | |
Authorized official | Szudera, John William MS, LMFT, LCPC |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 5th, 2018 |
Last updated | Aug 4th, 2023 - 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.
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