Provider Demographics
NPI:1609474618
Name:DAVID J. SAXEY, LLC
Entity Type:Organization
Organization Name:DAVID J. SAXEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAXEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-519-1654
Mailing Address - Street 1:1751 S HERITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-2267
Mailing Address - Country:US
Mailing Address - Phone:541-519-1654
Mailing Address - Fax:
Practice Address - Street 1:7950 HORSESHOE BEND RD STE 104
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83714-3809
Practice Address - Country:US
Practice Address - Phone:541-519-1654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty