Provider Demographics
NPI:1730121195
Name:ALL TOGETHER NOW
Entity Type:Organization
Organization Name:ALL TOGETHER NOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCEVILLY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-336-4504
Mailing Address - Street 1:1111 S ORCHARD ST
Mailing Address - Street 2:SUITE 650
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-1966
Mailing Address - Country:US
Mailing Address - Phone:208-385-7711
Mailing Address - Fax:208-385-0346
Practice Address - Street 1:1111 S ORCHARD ST
Practice Address - Street 2:SUITE 650
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-1966
Practice Address - Country:US
Practice Address - Phone:208-336-4504
Practice Address - Fax:208-336-0720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW830101YM0800X
IDNP458A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1692637Medicare ID - Type UnspecifiedCOUNSELOR
ID1373772Medicare ID - Type UnspecifiedNP