Healthcare Provider Details

I. General information

NPI: 1336066612
Provider Name (Legal Business Name): KAYLA GAFFNEY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 S ORCHARD ST STE 232
BOISE ID
83705-1275
US

IV. Provider business mailing address

3667 N COLLISTER DR
BOISE ID
83703-3308
US

V. Phone/Fax

Practice location:
  • Phone: 505-226-3209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHAELA GAFFNEY
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 505-226-3209