Pro Active Advantage, LLC
Pro Active Advantage, LLC is a Community/Behavioral Health Agency in Gooding, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
215 University DrGooding, ID 83330-6155
Phone: (208) 934-5880
Fax: (208) 934-5876
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence LPC-5654 (ID) |
|---|
Record details
| NPI number | 1407253669 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pat Marecki — Human Resources · (208) 772-4935 |
| Other names | Pro Active Behavioral Health; Pro Active Behavioral Health |
| NPI enumerated | December 3, 2014 |
| Last updated in NPPES | September 15, 2021 |
| Certification date | September 15, 2021 |
| Mailing address | 562 Shoup Ave W, Twin Falls, ID 83301-5029 |
Other providers in Gooding
-
Behavior Strategies
202 14th Ave E, Gooding, ID 83330-1829 · (208) 308-8585