# PRO ACTIVE ADVANTAGE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pro Active Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366562316
- **Authorized official:** FRANK J. KNIGHT (CEO)
- **Authorized official phone:** (208) 934-5880

## Contact information

- **Practice address:** 215 UNIVERSITY DR, GOODING, ID 83330-6155
- **Practice address phone:** (208) 934-5880
- **Practice address fax:** (208) 934-5876
- **Mailing address:** 215 UNIVERSITY DR, GOODING, ID 83330-6155
- **Mailing address phone:** (208) 934-5880
- **Mailing address fax:** (208) 934-5876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | Yes |
| 101Y00000X | Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 09/15/2021