Healthcare Provider Details

I. General information

NPI: 1396203212
Provider Name (Legal Business Name): OFELIA Z ANDREWS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2019
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 W AMERICANA TER STE 310A-1
BOISE ID
83706-2521
US

IV. Provider business mailing address

3350 W AMERICANA TER STE 310A-1
BOISE ID
83706-2521
US

V. Phone/Fax

Practice location:
  • Phone: 208-953-7721
  • Fax: 208-616-1916
Mailing address:
  • Phone: 208-953-7721
  • Fax: 208-616-1916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC-6514
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: