Organization · Type 2 NPI

Trivium Life Services Mountain West, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Boise, ID

NPI number 1194962829 Active

Practice location

12553 W Explorer Dr Ste 190
Boise, ID 83713-1612

Call (208) 376-7083 Map

Fax (208) 321-5069

Other practice locations

709 Dearborn St, Caldwell, ID 83605-4116 · (208) 376-7083

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

30 other providers at this address

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NPI record

NPI: 1194962829
Entity type: Organization (Type 2)
Issued: Jan 16, 2009
Last updated: Mar 5, 2026
Status: Active

Other names

<unavail>
Recovery 4 Life · doing business as
Recovery 4 Life · doing business as
Trivium Life Services · doing business as
Jx2 · former legal business name

Authorized official

Michelle Francesca Schaller, LMHP, LPC
Senior Director of BH & RCM
(712) 355-8480

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About NPI 1194962829

Trivium Life Services Mountain West, LLC's National Provider Identifier is 1194962829, issued on Jan 16, 2009. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Boise, ID. The record was last updated on Mar 5, 2026.