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

Pride Mental Health

Organization Case Management Agency · NPI 1588199277

Pride Mental Health is a Case Management Agency in Boise, Idaho. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
6
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Practice location Address checks out

9488 W Fairview Ave
Boise, ID 83704-8101
Phone: (208) 322-2929
Fax: (208) 322-2983
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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
Case Management Agency Taxonomy 251B00000X
Clinic/Center Taxonomy 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1588199277
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dane Mullen — Owner/Operator · (208) 322-2928
Other names Pride Mental Health
NPI enumeratedMay 1, 2017
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address9488 W Fairview Ave, Boise, ID 83704-8101

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