MRS. ELIZABETH ANNE VIDEEN LPC
NPI 1295475770
Counselor - Mental Health in Boise, ID
Active since March 31, 2022
About Mrs. Elizabeth Anne Videen Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ELIZABETH ANNE VIDEEN LPC (NPI 1295475770) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LPC-7451) and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1295475770
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ELIZABETH ANNE VIDEENCredential: LPC
Location Address11407 W REUTZEL DRBoise, ID 83709-4404
Mailing Address218 W Yosemite StMeridian, ID 83646-6832 · (208) 794-7611
Phone(208) 555-7803
Sole ProprietorYes
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1295475770 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LPC-7451
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11470 (ID)
11407 W REUTZEL DR, Boise, ID 83709
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295475770, enumerated as an "individual" on March 31, 2022.
The provider is located at 11407 W REUTZEL DR BOISE, ID 83709 and the phone number is (208) 555-7803.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.