Organization
REALIZE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J HOEKSTRA MS, LCPC (OWNER/CEO)
(208) 964-7189
Entity
Organization
Contact information
Practice address
14233 SILVER RIDGE RD, CALDWELL, ID 83607-5448
(208) 964-7189
Mailing address
14233 SILVER RIDGE RD, CALDWELL, ID 83607-5448
(208) 964-7189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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