Northwest Neurobehavioral Health, Llc

LBN: Northwest Neurobehavioral Health, Llc
Northwest Neurobehavioral Health, Llc is an health care organization with primary practice located at 2076 S Eagle Rd , Meridian ID 83642-6707. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Northwest Neurobehavioral Health, Llc can be contacted via phone (208) 955-7333, or through La Jeunesse, Jennifer A via phone (208) 283-9121.

Contact Information

Primary practice address
2076 S Eagle Rd Meridian ID 83642-6707
Phone: (208) 955-7333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: La Jeunesse, Jennifer A LCSW, CMPE
Phone: (208) 283-9121

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-202425 Idaho
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-202505 Idaho
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW-29787 Idaho
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW-30636 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-28431 Idaho
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1687 Idaho

Profile Details

NPI number 1013223445
LBN Legal business name Northwest Neurobehavioral Health, Llc
DBA Doing business as
Authorized official La Jeunesse, Jennifer A LCSW, CMPE
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2010
Last updated Aug 17th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013223445 NPPES
Idaho Other 1369079 MEDICARE PTAN

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