MARY LOTT LCPC
NPI 1891316972
Counselor - Mental Health in Boise, ID
Active since April 30, 2020
About Mary Lott Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY LOTT LCPC (NPI 1891316972) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LCPC-7592) and active in the NPI registry since April 2020. She maintains a secondary practice location in Eagle.
NPPES Registry Identity
NPI1891316972
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY LOTTCredential: LCPC
Location Address6300 W DENTON STBoise, ID 83704-9326
Mailing Address595 W Warren StBoise, ID 83706-3959 · (208) 353-2654
Phone(208) 577-4870
Sole ProprietorYes
Enumeration DateApril 30, 2020
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 4, 2024
✔ NPI 1891316972 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 · LCPC-7592
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
6300 W DENTON ST, Boise, ID 83704
Secondary Practice Location 1
Location 11065 E Winding Creek Dr Ste 250Eagle, ID 83616-7246 · Phone (208) 218-8700
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 1891316972, enumerated as an "individual" on April 30, 2020.
The provider is located at 6300 W DENTON ST BOISE, ID 83704 and the phone number is (208) 577-4870.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
