Organization · Type 2 NPI
Dynovion Cognitive Wellness, LLC
Mental Health Counselor · Boise, ID
NPI number
1619760501
Active
Practice location
12550 W Explorer Dr
Boise, ID 83713-1826
Mailing address
14233 Silver Ridge Rd
Caldwell, ID 83607-5448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1619760501
Dynovion Cognitive Wellness, LLC's National Provider Identifier is 1619760501, issued on May 23, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on May 23, 2025.