SearchIdaho101YP2500X

Daddy Boy Huddy-Nahalea

NPI 1427734912 · on the registry since 2023

Practice

Address
12553 W Explorer Dr Ste 190
Boise, ID 83713
Phone
(208) 376-7083
Organisation at this address
Mentor Idaho, Llc
Thrive Community Services, Llc
Trivium Life Services Mountain West, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho