Pro Active Advantage, Llc in Gooding - Mental Health
Pro Active Advantage, Llc - NPI 1073634713
Pro Active Advantage, Llc is a Mental Health in Gooding, Idaho. Pro Active Advantage, Llc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Pro Active Advantage, Llc is 1073634713. The last update date is 2021-09-15.
Pro Active Advantage, Llc's current location address is 215 University Dr, Gooding, Idaho. You can contact this provider via phone number 2089345880 and fax number 2089345876. The mailing address for Pro Active Advantage, Llc is 215 University Dr, Gooding, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pro Active Advantage, Llc |
|---|---|
| Address | 215 University Dr, Gooding, Idaho |
| Phone Number | 2089345880 |
| Fax Number | 2089345876 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Knight J. Frank |
| Telephone Number | 2089345880 |
NPI Number Detail
| NPI Number | 1073634713 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2021-09-15 |
Provider Mailing Address Detail
| Address | 215 University Dr |
|---|---|
| City | Gooding |
| State | Idaho (ID) |
| Post Code | 833306155 |
| Phone Number | 2089345880 |
| Fax Number | 2089345876 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8073811 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pro Active Advantage, Llc by the Centers for Medicare & Medicaid Services?
The Pro Active Advantage, Llc has been issued the NPI (National Provider Identifier) 1073634713 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Pro Active Advantage, Llc is geographically located?
The Pro Active Advantage, Llc is physically situated at the following location: 215 University Dr, Gooding, ID, 833306155.
What is Pro Active Advantage, Llc's area of expertise and its corresponding taxonomy classification?
The Pro Active Advantage, Llc's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
When did the Pro Active Advantage, Llc receive its 1073634713?
The Pro Active Advantage, Llc was issued its 1073634713 on 2007-04-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Pro Active Advantage, Llc last refreshed?
The information related to the Pro Active Advantage, Llc, including its address, specialty, and other relevant details, was last updated on 2021-09-15.