Healthcare Provider Details

I. General information

NPI: 1841302171
Provider Name (Legal Business Name): HAUDER SERVICES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1674 HILL RD STE 14
BOISE ID
83702-0958
US

IV. Provider business mailing address

1674 HILL RD STE 14
BOISE ID
83702-0958
US

V. Phone/Fax

Practice location:
  • Phone: 208-336-0200
  • Fax: 208-336-3837
Mailing address:
  • Phone: 208-336-0200
  • Fax: 208-336-3837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC52
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT2844
License Number StateID

VIII. Authorized Official

Name: MS. REBECCA S HAUDER
Title or Position: PRESIDENT
Credential: LCPC LMFT
Phone: 208-336-0200