Healthcare Provider Details

I. General information

NPI: 1881547552
Provider Name (Legal Business Name): TRUE PATH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13900 W WAINWRIGHT DR
BOISE ID
83713-5028
US

IV. Provider business mailing address

3327 N EAGLE RD # 110-137
MERIDIAN ID
83646-6141
US

V. Phone/Fax

Practice location:
  • Phone: 208-917-3048
  • Fax:
Mailing address:
  • Phone: 208-917-3048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: TARA PORTUGAIS
Title or Position: MENTAL HEALTH THERAPIST
Credential: LMSW
Phone: 208-917-3048