Organization
CANVI BEHAVIORAL HEALTH PLLC
Active
Parent organization
CANVI BEHAVIORAL HEALTH PLLC
Other names
CAnvi Behavioral Health CM/PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANVI BEHAVIORAL HEALTH PLLC
Authorized official
HAILEY MCCARTHY (BILLING CONTRACTING MANAGER)
(208) 233-2025
Entity
Organization
Contact information
Practice address
4650 HAWTHORNE RD, CHUBBUCK, ID 83202-2376
(208) 252-5621
(208) 648-4167
Mailing address
PO BOX 2516, POCATELLO, ID 83206-2516
(208) 380-4978
(208) 648-4167
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
11/03/2025
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