Healthcare Provider Details

I. General information

NPI: 1184594756
Provider Name (Legal Business Name): EMMA RANFT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 DEARBORN ST
CALDWELL ID
83605-4116
US

IV. Provider business mailing address

408 E 51ST ST TRLR 6
GARDEN CITY ID
83714-1473
US

V. Phone/Fax

Practice location:
  • Phone: 208-376-7083
  • Fax:
Mailing address:
  • Phone: 907-347-4107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1581812
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: