Organization
TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC
Active
Organization
TRIVIUM LIFE SERVICES MOUNTAIN WEST, LLC
Active
Other names
JX2, Trivium Life Services, Recovery 4 Life
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FRANCESCA SCHALLER LMHP, LPC (SENIOR DIRECTOR OF BH & RCM)
(712) 355-8480
Entity
Organization
Contact information
Practice address
12553 W EXPLORER DR STE 190, BOISE, ID 83713-1612
(208) 376-7083
(208) 321-5069
Mailing address
12553 W EXPLORER DR STE 190, BOISE, ID 83713-1612
(208) 376-7083
(208) 321-5069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
ID
Other
Enumeration date
01/16/2009
Last updated
03/05/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up