Healthcare Provider Details

I. General information

NPI: 1700758869
Provider Name (Legal Business Name): COUCH HOLISTIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3013 W STEWART AVE
BOISE ID
83702-2014
US

IV. Provider business mailing address

3013 W STEWART AVE
BOISE ID
83702-2014
US

V. Phone/Fax

Practice location:
  • Phone: 208-918-1230
  • Fax:
Mailing address:
  • Phone: 208-918-1230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: RACHEL E COUCH
Title or Position: OWNER/THERAPIST
Credential: LCPC, NCC
Phone: 208-206-8877