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FULL DISCLOSURE THERAPY
NPI 1942021589
Marriage & Family Therapist in Eagle, ID

Active since October 17, 2024
172 S ACADEMY AVE STE 150, EAGLE, ID 83616(208) 668-2701 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Full Disclosure Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULL DISCLOSURE THERAPY (NPI 1942021589) is a healthcare organization registered as a marriage & family therapist in Eagle, Idaho and active in the NPI registry since October 2024. The organization maintains a secondary practice location in W Los Angeles and lists Julie M Rodin, Owner, as its authorized official.

NPPES Registry Identity

NPI1942021589
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameFULL DISCLOSURE THERAPY
Location Address172 S ACADEMY AVE STE 150Eagle, ID 83616-6564
Mailing Address238 S Neskowin WayEagle, ID 83616-4964 · (310) 570-6897
Phone(208) 668-2701
Organization SubpartNo
Authorized OfficialJulie M RodinOwner · (310) 570-6897
Enumeration DateOctober 17, 2024
NPPES CertifiedSeptember 16, 2024
✔ NPI 1942021589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
172 S ACADEMY AVE STE 150, Eagle, ID 83616
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Secondary Practice Location 1

Location 12001 S Barrington Ave Ste 250W Los Angeles, CA 90025-5363 · Phone (310) 570-6897

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLORY MURPHY
Clinic/Center (Mental Health (Including Community Mental Health Center))
172 S ACADEMY AVE STE 150
EAGLE, ID 83616
Ada County (208) 891-6439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Full Disclosure Therapy's NPI number?

The NPI number for Full Disclosure Therapy is 1942021589. It was assigned to this organization in the NPPES registry on October 17, 2024.

Where is Full Disclosure Therapy located?

Full Disclosure Therapy is located at 172 S Academy Ave Ste 150, Eagle, ID 83616. The listed phone number is (208) 668-2701.

What is Full Disclosure Therapy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Full Disclosure Therapy was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.