Healthcare Provider Details

I. General information

NPI: 1588912661
Provider Name (Legal Business Name): NATALIE G LINHART LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 08/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1529 BELMONT ST
BOISE ID
83725-0001
US

IV. Provider business mailing address

2523 SUMMERCREST ST
CALDWELL ID
83607-9118
US

V. Phone/Fax

Practice location:
  • Phone: 208-426-1459
  • Fax: 208-426-3005
Mailing address:
  • Phone: 208-319-4547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-5016
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: