Healthcare Provider Details

I. General information

NPI: 1912838111
Provider Name (Legal Business Name): HALEY DIANE HUNT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 N 9TH ST STE 302
BOISE ID
83702-5766
US

IV. Provider business mailing address

202 N 9TH ST STE 302
BOISE ID
83702-5766
US

V. Phone/Fax

Practice location:
  • Phone: 208-495-4358
  • Fax: 208-932-9693
Mailing address:
  • Phone: 208-495-4358
  • Fax: 208-932-9693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7171969
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: