DR. RENEE LYNN BOZORG-OMID LPC
NPI 1235376062
Counselor - Professional in Pocatello, ID
Active since January 15, 2009
About Dr. Renee Lynn Bozorg-omid Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RENEE LYNN BOZORG-OMID LPC (NPI 1235376062) is an individual professional provider in Pocatello, Idaho, licensed in Idaho (LPC 3249) and active in the NPI registry since January 2009.
NPPES Registry Identity
NPI1235376062
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. RENEE LYNN BOZORG-OMIDCredential: LPC
Location Address500 S 11TH AVE STE 302Pocatello, ID 83201-4879
Mailing AddressPo Box 4455Pocatello, ID 83205-4455 · (912) 660-2674
Phone(208) 233-0150
Sole ProprietorYes
Enumeration DateJanuary 15, 2009
✔ NPI 1235376062 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LPC 3249
500 S 11TH AVE STE 302, Pocatello, ID 83201
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235376062, enumerated as an "individual" on January 15, 2009.
The provider is located at 500 S 11TH AVE STE 302 POCATELLO, ID 83201 and the phone number is (208) 233-0150.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.
