OrganizationActive
Awakenings Mental Health, PLLC
NPI 1679257430 · Mental Health Clinic/Center (Including Community Mental Health Center) · Boise, ID
Provider details
- NPI number
- 1679257430
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Talia Sierra, Co-Owner(208) 631-5593
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Practice location
6126 W State St Ofc 104
Boise, ID 83703-2741
Phone: (208) 555-5555
Approximate (ZIP-level) locationGet directions
Mailing address
6126 W State St Ofc 104
Boise, ID 83703-2741
Additional practice locations (1)
- 1510 W Ustick Rd Ste 110Meridian, ID 83646-7740Phone: (208) 295-0297
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.