Provider Demographics
NPI:1326746199
Name:WELLNESS PARTNERS, PLLC
Entity Type:Organization
Organization Name:WELLNESS PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTA
Authorized Official - Middle Name:MOORE
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:858-229-4081
Mailing Address - Street 1:1317 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-5320
Mailing Address - Country:US
Mailing Address - Phone:208-900-8080
Mailing Address - Fax:208-314-6869
Practice Address - Street 1:1317 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-5320
Practice Address - Country:US
Practice Address - Phone:208-900-8080
Practice Address - Fax:208-314-6869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health