LAURISA ROGERS, LCSW, PLLC
NPI 1922757905
Counselor - Mental Health in Boise, ID
Active since March 18, 2022
6550 W EMERALD ST STE 110, BOISE, ID 83704(208) 921-3501(888) 309-8143 Get Directions Write a Review
About Laurisa Rogers, Lcsw, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURISA ROGERS, LCSW, PLLC (NPI 1922757905) is a healthcare organization registered as a mental health in Boise, Idaho and active in the NPI registry since March 2022. The organization lists Laurisa Rogers, Owner, as its authorized official.
NPPES Registry Identity
NPI1922757905
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLAURISA ROGERS, LCSW, PLLC
Location Address6550 W EMERALD ST STE 110Boise, ID 83704-4700
Mailing Address2584 E Bergeson StBoise, ID 83706-6014 · (208) 921-3501 · Fax (888) 309-8143
Phone(208) 921-3501
Fax(888) 309-8143
Organization SubpartNo
Authorized OfficialLaurisa RogersOwner · (208) 921-3501
Enumeration DateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1922757905 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6550 W EMERALD ST STE 110, Boise, ID 83704
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922757905, enumerated as an "organization" on March 18, 2022.
The provider is located at 6550 W EMERALD ST STE 110 BOISE, ID 83704 and the phone number is (208) 921-3501.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.