Provider Demographics
NPI:1215469440
Name:MENTAL HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:MENTAL HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SATU
Authorized Official - Middle Name:HANNELE
Authorized Official - Last Name:WOODLAND
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-BC, PMHCNS
Authorized Official - Phone:208-371-8040
Mailing Address - Street 1:3060 S ROOKERY LN
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-5484
Mailing Address - Country:US
Mailing Address - Phone:208-371-8040
Mailing Address - Fax:866-371-6410
Practice Address - Street 1:3152 S BOWN WAY STE 102
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-5456
Practice Address - Country:US
Practice Address - Phone:208-371-8040
Practice Address - Fax:866-371-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCNS-65-A261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)