Northwest Professionals Family Resource Center

LBN: Northwest Professionals Family Resource Center
Northwest Professionals Family Resource Center is an health care organization with primary practice located at 6540 W Emerald St Suite 100, Boise ID 83704-8782. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Northwest Professionals Family Resource Center can be contacted via phone (208) 376-0979, or through Moore-Johnson, Monty via phone (208) 376-0979.

Contact Information

Primary practice address
6540 W Emerald St Suite 100 Boise ID 83704-8782
Fax: (208) 378-1089
Website:
Authorized official contact:
Name: Moore-Johnson, Monty LCPC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1356564405
LBN Legal business name Northwest Professionals Family Resource Center
DBA Doing business as
Authorized official Moore-Johnson, Monty LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1356564405 NPPES
Idaho Other 8L105 BLUE CROSS OF IDAHO

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