NPI age
13 years
Enumerated 2012-10-10
● Active Type 2 · Organization
Subpart
Sequel Tsi Of Idaho, Llc
Sequel Tsi Of Idaho, Llc is 1 of 93 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Banken
SR. Vice President Of Operations
Last NPPES update
2012-10-10
Source: monthly bulk 2026-05
How this organization compares
Across 93 active clinic/center providers in Idaho.
NPI age
13 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-10Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
2850 Industrial Way
Mountain Home, ID 836473960
Mailing address
2850 Industrial Way
Mountain Home, ID 836473960
Authorized official
Chris Banken
SR. Vice President Of Operations
📞 6023352095
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mountain Home
Practice context
Single-site organization. Only one practice location on file.
Subpart of Sequel Tsi Holdings.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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