Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Halcyon Infusions & Therapeutics, PLLC

Organization Clinical Social Worker · NPI 1154188050

Halcyon Infusions & Therapeutics, PLLC is a Clinical Social Worker in Nampa, Idaho. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1611 12th Ave Rd Ste A
Nampa, ID 83686-6182
Phone: (208) 546-3650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Clinical Social Worker Taxonomy 1041C0700X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1154188050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Fowler — Nurse Practitioner/Owner · (208) 546-3650
NPI enumeratedMarch 6, 2024
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address1123 12th Ave Rd # 325, Nampa, ID 83686-5738

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