Provider Demographics
NPI:1578628749
Name:BEHAVIORAL HEALTH ASSOCIATES LLP
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH ASSOCIATES LLP
Other - Org Name:BPA BEHAVIORAL HEALTH
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARENDT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:208-344-5457
Mailing Address - Street 1:600 E RIVERPARK LN
Mailing Address - Street 2:STE 200
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706
Mailing Address - Country:US
Mailing Address - Phone:208-344-5457
Mailing Address - Fax:208-343-5165
Practice Address - Street 1:600 E RIVERPARK LN
Practice Address - Street 2:STE 200
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706
Practice Address - Country:US
Practice Address - Phone:208-344-5457
Practice Address - Fax:208-343-5165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty