Healthcare Provider Details

I. General information

NPI: 1578473211
Provider Name (Legal Business Name): SASHA LEIGH MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 W RIVER ST STE 100
BOISE ID
83702-7083
US

IV. Provider business mailing address

614 SILVER PLUME LN APT 104 APT 104
CALDWELL ID
83605-1143
US

V. Phone/Fax

Practice location:
  • Phone: 208-338-4699
  • Fax:
Mailing address:
  • Phone: 986-837-6378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: