Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Haven Behavioral Outpatient Services of Boise, LLC

Organization Counselor · NPI 1619534609

Haven Behavioral Outpatient Services of Boise, LLC is a Counselor in Boise, Idaho. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1919 W State St
Boise, ID 83702-3958
Phone: (208) 813-6246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Counselor Taxonomy 101Y00000X
Psychiatry Physician Taxonomy 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1619534609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janie Pickle — Vp, Controller · (615) 393-8809
Other names Cottonwood Creek Wellness Center - Lost River; Cottonwood Creek Wellness Center - Lost River
NPI enumeratedMay 24, 2019
Last updated in NPPESMarch 22, 2022
Certification dateMarch 17, 2022
Mailing address3102 W End Ave Ste 1000, Nashville, TN 37203-1324

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