Organization
LZ BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LZICAR LCPC (OWNER)
(208) 614-0734
Entity
Organization
Contact information
Practice address
6142 W CORPORAL LN, BOISE, ID 83704-9316
(208) 614-0734
(208) 649-2805
Mailing address
PO BOX 7251, BOISE, ID 83707-1251
(208) 614-0734
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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