NPI 1063364743

Emalissa Brooke Anne Balentine

Practitioner Child Mental Illness Respite Care Lewiston, ID

Practice location

Address: 531 Bryden Ave, Lewiston, ID 83501-4438
Phone: (208) 798-1646
Fax: (208) 798-5568

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X

Other Respite Care providers in Idaho →

Registry record

NPI: 1063364743
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2026
Record last updated: 13 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.