Emalissa Brooke Anne Balentine
Emalissa Brooke Anne Balentine is a Child Mental Illness Respite Care in Lewiston, Idaho. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
531 Bryden AveLewiston, ID 83501-4438
Phone: (208) 798-1646
Fax: (208) 798-5568
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Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X |
|---|
Record details
| NPI number | 1063364743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 13, 2026 |
| Last updated in NPPES | February 13, 2026 |
| Certification date | February 13, 2026 |
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Kailey Marie Carpenter
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Stacey Lynn Forsman
531 Bryden Ave, Lewiston, ID 83501-4438 · (208) 798-1646
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Juan David Hart
531 Bryden Ave, Lewiston, ID 83501-4438 · (208) 798-1646