Organization
VALIANT MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY P GOLEMAN APRN (PMHNP-BC)
(208) 444-9820
Entity
Organization
Contact information
Practice address
6248 W AIRHORN AVE, RATHDRUM, ID 83858-8014
(208) 444-9820
Mailing address
6248 W AIRHORN AVE, RATHDRUM, ID 83858-8014
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
03/11/2025
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