Organization
BOHNENKAMP BEHAVIORAL HEALTH LLC
Active
Other names
Bohnenkamp Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A BOHNENKAMP LCSW33391 (OWNER/CLINICIAN)
(208) 553-3776
Entity
Organization
Contact information
Practice address
2020 POWERS AVE, LEWISTON, ID 83501-6149
(208) 553-3776
Mailing address
2020 POWERS AVE, LEWISTON, ID 83501-6149
(208) 553-3776
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-33391
IDAHO BUREAU OF OCCUPATIONAL LICENSES
ID
Enumeration date
04/29/2019
Last updated
03/09/2026
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