Organization
MENTAL HEALTH SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J BOYCE LCSW (DIRECTOR)
(208) 238-9000
Entity
Organization
Contact information
Practice address
210 W BURNSIDE AVE, SUITE A, CHUBBUCK, ID 83202-4916
(208) 238-9000
(208) 238-9002
Mailing address
210 W BURNSIDE AVE, SUITE A, CHUBBUCK, ID 83202-4916
(208) 238-9000
(208) 238-9002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/02/2010
Last updated
05/28/2025
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