Provider Demographics
NPI:1972626620
Name:R H MENTAL HEALTH SERVICES, PLLC
Entity Type:Organization
Organization Name:R H MENTAL HEALTH SERVICES, PLLC
Other - Org Name:RHMH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEIKKILA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-371-7089
Mailing Address - Street 1:16703 N YORKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-9437
Mailing Address - Country:US
Mailing Address - Phone:208-371-7089
Mailing Address - Fax:
Practice Address - Street 1:1111 S ORCHARD ST
Practice Address - Street 2:SUITE 290
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-1966
Practice Address - Country:US
Practice Address - Phone:208-343-2770
Practice Address - Fax:208-343-2720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-256021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807363500Medicaid
ID808466500Medicaid
ID807541100Medicaid
ID807127600Medicaid