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
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