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Organization

LEYLINE ADVOCATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIM DANIELS (MANAGING MEMBER)
(208) 344-9797
Entity
Organization

Contact information

Practice address
921 S ORCHARD ST STE 100, BOISE, ID 83705-1916
(208) 949-3966
(208) 344-9898
Mailing address
921 S ORCHARD ST STE 100, BOISE, ID 83705-1916
(208) 949-3966

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
807127700
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807127700
ID
Enumeration date
03/09/2007
Last updated
12/08/2025
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