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Organization
AWAKENINGS MENTAL HEALTH, PLLC
Active
Organization
AWAKENINGS MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALIA SIERRA PA-C (CO-OWNER)
(208) 631-5593
Entity
Organization
Contact information
Practice address
6126 W STATE ST OFC 104, BOISE, ID 83703-2741
(208) 555-5555
Mailing address
6126 W STATE ST OFC 104, BOISE, ID 83703-2741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/12/2023
Last updated
02/23/2026
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